Graduated: 2019
NPI: 1023571452
Practice Locations (2)
IDEAL FOOT CARE PC
3116 30TH AVE, SUITE 203
ASTORIA, NY 111021545
7186263338
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
506 LENOX AVE
NEW YORK, NY 100371802
2129391840
Source: CMS National Downloadable File, September 2026.