Graduated: 2007
Offers telehealth
NPI: 1407026248
Practice Locations (4)
400 WINHAVEN ST
ROXBORO, NC 275735442
99 GORGE RD APT, SUITE 1908
Edgewater, NJ 070201726
99 GORGE RD, APT 1908
EDGEWATER, NJ 070201726
80 5TH AVE, SUITE 903 10
NEW YORK, NY 100118020
Source: CMS National Downloadable File, September 2026.