Graduated: 2011
NPI: 1407146392
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
20 PROSPECT AVE
HACKENSACK, NJ 076011997
5519965045
UNITED MEDICAL ASSOCIATES PC
33 -57 HARRISON ST
JOHNSON CITY, NY 137902107
6077636622
Source: CMS National Downloadable File, September 2026.