Graduated: 2005
NPI: 1679983159
Practice Locations (2)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
20 PROSPECT AVE
HACKENSACK, NJ 076011997
5519965045
2279 CONEY ISLAND AVE, SUITE 2D
BROOKLYN, NY 112233337
3476693535
Source: CMS National Downloadable File, September 2026.