Graduated: 2025
NPI: 1528955747
Practice Locations (4)
554 SUMMIT AVE
Jersey City, NJ 073062702
554 SUMMIT AVE
JERSEY CITY, NJ 073062702
7 CLYDE RD
SOMERSET, NJ 088735049
1110 2ND AVE, RM 302
NEW YORK, NY 100222093
Source: CMS National Downloadable File, September 2026.