Graduated: 2005
Also: ADDICTION MEDICINE
NPI: 1710129002
Practice Locations (2)
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.