Graduated: 1997
NPI: 1649208513
Practice Locations (3)
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
WYCKOFF PROFESSIONAL MEDICAL SERVICES PC
374 STOCKHOLM ST
BROOKLYN, NY 112374006
7189637266
Source: CMS National Downloadable File, September 2026.