Medical school: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1740511740
Practice Locations (2)
1030 SAINT GEORGES AVE, SUITE 200
AVENEL, NJ 070011330
7326368844
11 RALPH PL, SUITE 205
STATEN ISLAND, NY 103044405
7182739111
Source: CMS National Downloadable File, September 2026.