East End Internal Medicine PC

NPI #1588164669 in East Moriches, New York

Provider Information

NPI Number: 1588164669
Entity Type: Organization
Organization Name: East End Internal Medicine PC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 15, 2018
Last Updated: Feb 15, 2018

Practice Location

Address: 9 ATLANTIC AVE
City: East Moriches
State: New York
ZIP Code: 11940-1327
Phone: (631) 897-9297

Authorized Official

Name: DR. CHARLES JOSEPH DEFRAIA, DO, FACOI
Title: PHYSICIAN
Phone: (631) 897-9297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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