Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2007
NPI: 1861657819
Practice Locations (2)
500 N FRANKLIN TPKE, SUITE 215
RAMSEY, NJ 074461178
2019959975
26 FIREMENS MEMORIAL DR, SUITE 111
POMONA, NY 109703576
8455019292
Source: CMS National Downloadable File, September 2026.