Graduated: 2006
Offers telehealth
NPI: 1962716332
Practice Locations (3)
550 W MAIN ST, 1 C/O CENTER FOR MINDFUL CHANGE
BOONTON, NJ 070051155
5163500830
7 BOND ST, 1A
GREAT NECK, NY 110212412
5763500830
8134 190TH ST
JAMAICA, NY 114231041
Source: CMS National Downloadable File, September 2026.