Individual
DR. AHMED ESSAM FARAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HEROES WAY, RIVERHEAD, NY 11901-2054
(631) 548-6000
Mailing address
1 HEROES WAY, RIVERHEAD, NY 11901-2054
(915) 215-4463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
333341
NY
208M00000X
Hospitalist Physician
Primary
333341
NY
Other
Enumeration date
03/26/2021
Last updated
11/03/2025
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