Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 2020
NPI: 1801408422
Practice Locations (2)
400 PERRINE RD, SUITE 400B
OLD BRIDGE, NJ 088572811
26 EDGEWOOD TER
SOUTH BOUND BROOK, NJ 088801361
Source: CMS National Downloadable File, September 2026.