Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 1988
NPI: 1952392623
Practice Locations (2)
411 ROUTE 34, SUITE 515
COLTS NECK, NJ 077222521
411 STATE ROUTE 34, SUITE 515
COLTS NECK, NJ 077222521
7324090100
Source: CMS National Downloadable File, September 2026.