Mineola Injury Lawyer :: Mineola, NY :: Long Island, New York Accident Attorney

Mineola, NY

143 Willis Avenue, 2nd Floor
Mineola, New York 11501
Map and Driving Directions

Phone: 516.PIATTYS
Phone: 516.742.8897

Contact Information: Name:* Email:* Phone Number:* Alternate Phone Number: (Optional) Address: City: State: ZIP:

Injured Person Information: Date of Birth: Whom are you inquiring on behalf of? If you are NOT inquiring on your own behalf, what is your relationship? Is the person deceased? Yes No If deceased, the cause of death as stated on the death certificate: Was there an autopsy performed? Yes No Date of Death:

Injury/Case Information: Please describe your case and/or injury: Date of Incident:

Please do not include any confidential or sensitive information in this form. This form sends information by non-encrypted e-mail which is not secure.

Submitting this form does not create an attorney-client relationship.

Mineola, NY

Areas of Practice