Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1986
NPI: 1760448401
Practice Locations (2)
VALLEY PHYSICIAN SERVICES PC
108 JACKSON ST, APT 6B
HOBOKEN, NJ 070306101
8008255391
VALLEY PHYSICIAN SERVICES PC
223 N VAN DIEN AVE
RIDGEWOOD, NJ 074502726
2014478000
Source: CMS National Downloadable File, September 2026.