Graduated: 2004
NPI: 1851642938
Practice Locations (2)
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
2601 OCEAN PKWY
BROOKLYN, NY 112357745
7186165356
NORTH SHORE-LIJ MEDICAL PC
475 SEAVIEW AVE
STATEN ISLAND, NY 103053436
2124346980
Source: CMS National Downloadable File, September 2026.