Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1619085537
Practice Locations (2)
OUTREACH DEVELOPMENT CORPORATION
452 SUFFOLK AVE
BRENTWOOD, NY 117174214
6314366065
OUTREACH DEVELOPMENT CORPORATION
960 MANHATTAN AVE
BROOKLYN, NY 112221625
7183837200
Source: CMS National Downloadable File, September 2026.