Individual
GULRAIZ RASUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-0409
(631) 726-0396
Mailing address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-0409
(631) 726-0396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
333687
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
11/21/2024
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