Graduated: 1982
NPI: 1386851251
Practice Locations (2)
395 FORT WASHINGTON AVE, SUITE 9
NEW YORK, NY 100336741
2129281400
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
506 LENOX AVE
NEW YORK, NY 100371802
2129391840
Source: CMS National Downloadable File, September 2026.