HOLBROOK INTERNAL MEDICINE, PC
Ambulatory Health at Main St, Holbrook, NY

License number
New York 230975
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. DANIEL JOSPEH LAIETA D.O., F.A.C.P.
Title: PRESIDENT/CEO
Phone: (631) 960-5945
Address
Address 2
900 Main St, Holbrook, NY 11741
PO Box 82, Wildwood, NY 11792
National Provider ID: 1972825420
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HOLBROOK INTERNAL MEDICINE, PC

900 Main St, Holbrook, NY 11741

Industry:
Health/Allied Services
Doing business as:
Holbrook Internal Medicine
Registration:
Jul 1, 2009
State ID:
3828801
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Do Facp, Principal:
Daniel J Laieta (Do Facp, Principal), 900 Main St, Holbrook, NY 11741 (Physical)

Holbrook Internal Medicine, PC

1 Little Leaf Ct, Wildwood, NY 11792

Status:
Inactive
Industry:
Health/Allied Services

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