Graduated: 1983
Offers telehealth
NPI: 1861434532
Practice Locations (2)
COUNTY OF SUFFOLK
15 HORSEBLOCK PL
FARMINGVILLE, NY 117381204
6318542552
OUTREACH DEVELOPMENT CORPORATION
27 A WASHINGTON PL
ROOSEVELT, NY 115751454
5166237741
Source: CMS National Downloadable File, September 2026.