Graduated: 2004
NPI: 1104004605
Practice Locations (2)
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
264 W 118TH ST
NEW YORK, NY 100261620
2129326500
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
506 LENOX AVE
NEW YORK, NY 100371802
2129391840
Source: CMS National Downloadable File, September 2026.