Graduated: 2008
NPI: 1720229909
Practice Locations (4)
85 CRESCENT AVE
PASSAIC, NJ 070552437
94 WANAQUE AVE
POMPTON LAKE, NJ 074422075
7701 13TH AVE
BROOKLYN, NY 112282413
9901 BRODIE LN, SUITE 160
AUSTIN, TX 787485803
Source: CMS National Downloadable File, September 2026.