Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1996
NPI: 1417067612
Practice Locations (2)
2 GREENWICH OFFICE PARK, SUITE 210
GREENWICH, CT 068315155
2038630003
2425 EASTCHESTER RD
BRONX, NY 104695932
2127441200
Source: CMS National Downloadable File, September 2026.