| Doctor Name: | AHMED SALEH ERAKAT |
| NPI Number: | 1285929935 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | STUDENT |
| Business Practice Address: | 240 Meeting House Ln Southampton, NY - 119685009 |
| Business Phone Number: | 6317260409 |
| Business Fax Number: | |
| Mailing Address: | 308 Saint Andrews Rd W, SOUTHAMPTON |
| State: | NY |
| Postal Code: | 119683744 |
| Phone Number: | 5105179341 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2011 |
| NPI Last Update Date: | 06/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | STUDENT |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |