Individual
AHMED SALEH ERAKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-0409
Mailing address
308 SAINT ANDREWS RD W, SOUTHAMPTON, NY 11968-3744
(510) 517-9341
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
STUDENT
NY
Other
Enumeration date
06/10/2011
Last updated
12/15/2021
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