Graduated: 2024
NPI: 1033956198
Practice Locations (3)
MEDICAL GROUP OF NEW YORK PC
107 S COUNTRY RD
BELLPORT, NY 117132523
8663892727
OPTUM MEDICAL CARE PC
90 S BEDFORD RD
MOUNT KISCO, NY 105493412
9142411050
MEDICAL GROUP OF NEW YORK PC
1619 BROADWAY
NEW YORK, NY 100197412
8663892727
Source: CMS National Downloadable File, September 2026.