Medical school: NEW YORK CHIROPRACTIC COLLEGE
Graduated: 2023
NPI: 1760269310
Practice Locations (2)
SPORTSMED PT LLC
266 HARRISTOWN RD, SUITE 200
GLEN ROCK, NJ 074523354
2014457000
SPORTSMED PT LLC
211 BERDAN AVE
WAYNE, NJ 074703236
2012496930
Source: CMS National Downloadable File, September 2026.