Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 2021
NPI: 1861980138
Practice Locations (2)
2761 JOHN F KENNEDY BLVD
JERSEY CITY, NJ 073065515
2017071378
PEDIRITE MEDICAL NJ LLC
300 BROADWAY
NEWARK, NJ 071048000
2127640008
Source: CMS National Downloadable File, September 2026.