Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1619923067
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
5519963547
Source: CMS National Downloadable File, September 2026.