Graduated: 1978
NPI: 1780606970
Practice Locations (3)
22812 LINDEN BLVD
CAMBRIA HEIGHTS, NY 114111846
7185283206
506 LENOX AVE
NEW YORK, NY 100371802
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
506 LENOX AVE
NEW YORK, NY 100371802
2129391840
Source: CMS National Downloadable File, September 2026.