Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 2025
NPI: 1720961113
Practice Locations (2)
164 GLENWILD AVE
BLOOMINGDALE, NJ 074031413
19100 RIDGEWOOD PKWY
SAN ANTONIO, TX 782591828
Source: CMS National Downloadable File, September 2026.