Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2011
NPI: 1407146400
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
150 OVERLOOK AVE
HACKENSACK, NJ 076012206
2014895999
Source: CMS National Downloadable File, September 2026.