Individual
DR. CHARLES JOSEPH DEFRAIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
320 W MONTAUK HWY, HAMPTON BAYS, NY 11946-3525
(631) 728-3100
Mailing address
9 ATLANTIC AVE, EAST MORICHES, NY 11940-1327
(631) 897-9297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
266975-1
NY
Other
Enumeration date
07/05/2010
Last updated
11/22/2022
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