| 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 |
| Location | 900 Main St, Holbrook, New York |
| Authorized Official Name and Position | Daniel Jospeh Laieta (PRESIDENT/CEO) |
| Authorized Official Contact | 6319605945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 5799813259 |
|---|---|
| Medicare Enrollment ID | O20100505000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972825420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 230975 (New York) | Primary |
| Provider Name | Daniel Laieta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437129293 PECOS PAC ID: 2961493440 Enrollment ID: I20040522000189 |
| Provider Name | Barbara Joan Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437329158 PECOS PAC ID: 1153455332 Enrollment ID: I20100811000000 |
First Choice Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Union Ave, Holbrook, NY 11741 Phone: 631-585-5858 Fax: 631-585-6362 | |
Internal Medicine And Geriatrics Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 Union Ave Ste 206, Holbrook, NY 11741 Phone: 631-588-4888 Fax: 631-555-4840 | |
Thomas Spinnato Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Union Avenue, Holbrook, NY 11741 Phone: 631-588-0202 Fax: 631-588-1051 | |
Internal Medicine And Geriatrics Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 233 Union Ave Ste 206, Holbrook, NY 11741 Phone: 631-588-4888 Fax: 631-588-4840 | |
Inj Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 Furrows Rd Unit 168, Holbrook, NY 11741 Phone: 516-469-7999 Fax: 631-714-4437 |