Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1285783175
Practice Locations (2)
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
234 E 149 ST
BRONX, NY 104515504
7185796101
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
2601 OCEAN PKWY
BROOKLYN, NY 112357745
7186165356
Source: CMS National Downloadable File, September 2026.