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Organization
JOHN LABIAK MD PC
Active
Organization
JOHN LABIAK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LABIAK M.D. (PHYSICAN)
(631) 265-1855
Entity
Organization
Contact information
Practice address
290 E MAIN ST, SUITE 200, SMITHTOWN, NY 11787-2916
(631) 265-1855
(631) 724-2579
Mailing address
290 E MAIN ST, SUITE 200, SMITHTOWN, NY 11787-2916
(631) 265-1855
(631) 724-2579
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
173947
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396747267
—
NY
Enumeration date
10/07/2010
Last updated
10/07/2010
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