Organization
EAST END INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES JOSEPH DEFRAIA DO, FACOI (PHYSICIAN)
(631) 897-9297
Entity
Organization
Contact information
Practice address
9 ATLANTIC AVE, EAST MORICHES, NY 11940-1327
(631) 897-9297
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
NY
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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