| Holbrook Internal Medicine, PC | |
|
900 Main St Holbrook NY 11741-1623 | |
| (631) 960-5945 | |
| Not Available |
| Full Name | Holbrook Internal Medicine, PC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 900 Main St, Holbrook, New York |
| Authorized Official Name and Position | Daniel Jospeh Laieta (PRESIDENT/CEO) |
| Authorized Official Contact | 6319605945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holbrook Internal Medicine, PC Po Box 82 Wading River NY 11792-0082 Ph: (631) 960-5945 | Holbrook Internal Medicine, PC 900 Main St Holbrook NY 11741-1623 Ph: (631) 960-5945 |
| NPI Number | 1972825420 |
|---|---|
| Provider Enumeration Date | 02/25/2010 |
| Last Update Date | 02/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972825420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 230975 (New York) | Primary |
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