Graduated: 2019
NPI: 1821638081
Practice Locations (3)
27 RANDOLPH RD
HOWELL, NJ 077318611
204 BEACH 102ND ST APT, SUITE 3
Rockaway Park, NY 116942875
204 BEACH 102ND ST, APT 3
ROCKAWAY PARK, NY 116942835
Source: CMS National Downloadable File, September 2026.