Graduated: 2020
NPI: 1972487437
Practice Locations (3)
126 SAINT PAULS AVE, 2L
Jersey City, NJ 073062626
126 SAINT PAULS AVE, 2L
JERSEY CITY, NJ 073062626
2579 OCEAN AVE, FLOOR 3
Brooklyn, NY 112294552
Source: CMS National Downloadable File, September 2026.