Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 1990
NPI: 1447349451
Practice Locations (2)
170 PROSPECT AVE, SUITE 3
HACKENSACK, NJ 076011834
2014874443
170 PROSPECT AVE, SUITE 3
HACKENSACK, NJ 076011834
2014874443
Source: CMS National Downloadable File, September 2026.