Graduated: 1994
NPI: 1316991136
Practice Locations (2)
2800 TAMARACK AVE, SUITE 103
SOUTH WINDSOR, CT 060745553
8606484480
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
506 LENOX AVE
NEW YORK, NY 100371802
2129391840
Source: CMS National Downloadable File, September 2026.