Graduated: 2004
NPI: 1669961231
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
20 PROSPECT AVE, SUITE 406
HACKENSACK, NJ 076011941
5519962608
ALBANY MEDICAL COLLEGE
47 NEW SCOTLAND AVE
ALBANY, NY 122083412
5182625633
Source: CMS National Downloadable File, September 2026.