Organization
CHERESE M. LAPORTA D.O., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERA KRUTA (BILLER)
(631) 654-5004
Entity
Organization
Contact information
Practice address
107 N OCEAN AVE, SUITE G, PATCHOGUE, NY 11772-2012
(631) 654-5004
(631) 654-5048
Mailing address
107 N OCEAN AVE, SUITE G, PATCHOGUE, NY 11772-2012
(631) 654-5004
(631) 654-5048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
184780
NY
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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