Graduated: 1995
NPI: 1700053733
Practice Locations (4)
34 UNION AVE
IRVINGTON, NJ 071113219
34 UNION AVE, FL 1
IRVINGTON, NJ 071113219
8627723797
964 SANFORD AVE
IRVINGTON, NJ 071111474
964 SANFORD AVE, FLOOR 1
IRVINGTON, NJ 071111474
Source: CMS National Downloadable File, September 2026.