Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1991
NPI: 1598778896
Practice Locations (2)
318 N MAIN ST, SUITE 2
SOUTHINGTON, CT 064892555
8606214412
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
506 LENOX AVE
NEW YORK, NY 100371802
2129391840
Source: CMS National Downloadable File, September 2026.