Graduated: 2020
NPI: 1205464047
Practice Locations (2)
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
506 LENOX AVE
NEW YORK, NY 100371802
2129391840
CENTRA MEDICAL GROUP LLC
1901 TATE SPRINGS RD
LYNCHBURG, VA 245011109
4349473033
Source: CMS National Downloadable File, September 2026.