Graduated: 2001
NPI: 1629178116
Practice Locations (3)
IHPNJ ER LLC
29 E 29TH ST
BAYONNE, NJ 070024695
2018585000
MGM KETAMINE SERVICES LLC
690 KINDERKAMACK RD, SUITE 103
ORADELL, NJ 076491524
2014833760
MALINA MEDICAL SERVICES PC
6 E 39TH ST, SUITE 600
NEW YORK, NY 100160123
2014833760
Source: CMS National Downloadable File, September 2026.