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Individual

MASSOUD EGHRARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
142 LANDING MEADOW RD, SMITHTOWN, NY 11787-1126
(631) 584-5100
(631) 360-2696
Mailing address
142 LANDING MEADOW RD, SMITHTOWN, NY 11787-1126
(631) 584-5100
(631) 360-2696

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
60091780
NY

Other

Enumeration date
04/28/2008
Last updated
04/28/2008
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