Provider Demographics
NPI:1043287006
Name:JURASITS, ERIKA M (DO)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:M
Last Name:JURASITS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4 HIGH CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-1204
Mailing Address - Country:US
Mailing Address - Phone:631-509-6888
Mailing Address - Fax:631-509-6895
Practice Address - Street 1:170 N COUNTRY RD STE 2
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-2606
Practice Address - Country:US
Practice Address - Phone:631-509-6888
Practice Address - Fax:631-509-6895
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY210112207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine