Cherese M. Laporta D.o., Pllc

NPI #1700050051 in Patchogue, New York

Provider Information

NPI Number: 1700050051
Entity Type: Organization
Organization Name: Cherese M. Laporta D.o., Pllc
Primary Specialty: Family Medicine
Enumeration Date: Apr 17, 2008
Last Updated: Apr 17, 2008

Practice Location

Address: 107 N OCEAN AVE
Address 2: SUITE G
City: Patchogue
State: New York
ZIP Code: 11772-2012
Phone: (631) 654-5004

Authorized Official

Name: MS. VERA KRUTA
Title: BILLER
Phone: (631) 654-5004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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