person
Edward J Kormylo, DPM
Foot Surgery Podiatrist in Patchogue, New York
NPI 1568436392

Edward J Kormylo is a Foot Surgery Podiatrist based in New York, NY and is specialized in Foot Surgery. Edward J Kormylo practices in Patchogue, NY and has the professional credentials of DPM. The NPI Number for Edward J Kormylo is 1568436392 and holds a License No. N003100 (New York).

The current practice location address for Edward J Kormylo is 33 Medford Ave Ste D, Patchogue, NY and can be reached out via phone at 631-687-4190 and via fax at 631-687-4199.

Location: 33 Medford Ave Ste D, Patchogue, NY, 10005-2178
person
Provider Profile Details
NPI Number
1568436392
Provider Name
Edward J Kormylo
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
33 Medford Ave Ste D, Patchogue, NY, 10005-2178
Phone Number
631-687-4190
Fax Number
631-687-4199
Provider Enumeration Date
02/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480015120 01 NY MEDICARE RAILROAD
00588743 05 NY
institution
Provider Business Practice Location Address Details
Address
33 Medford Ave Ste D
City
State
Zip
11772-1222
Phone Number
631-687-4190
Fax Number
631-687-4199
person
Provider Business Mailing Address Details
Address
33 Medford Ave Ste D
City
State
Zip
11772-1222
Phone Number
631-687-4190
Fax Number
631-687-4199
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
N003100 (New York)
Definition
Definition to come...
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