Graduated: 2010
NPI: 1962726968
Practice Locations (3)
FELLOWSHIP VILLAGE INC
8000 FELLOWSHIP RD
BASKING RIDGE, NJ 079203915
9085803845
370 GRAND AVE, SUITE 101
ENGLEWOOD, NJ 076314109
7183311100
1501 W 6TH ST, APT 1A
BROOKLYN, NY 112044925
7183311100
Source: CMS National Downloadable File, September 2026.