institution
Warren L. Kent D.p.m. P.c.
Foot Surgery Podiatrist in Port Jefferson Station, New York
NPI 1659568632

Warren L. Kent D.p.m. P.c. is a Foot Surgery Podiatrist based in Port Jefferson Station, NY and is specialized in Foot Surgery. Warren L. Kent D.p.m. P.c. practices in Port Jefferson Station, NY. The NPI Number for Warren L. Kent D.p.m. P.c. is 1659568632 and holds a License No. 003191 (New York).

The current practice location address for Warren L. Kent D.p.m. P.c. is 136 Terryville Rd, Port Jefferson Station, NY and can be reached out via phone at 631-928-1815 and via fax at 631-928-2945.

Location: 136 Terryville Rd, Port Jefferson Station, NY, 11776-1330
institution
Provider Profile Details
NPI Number
1659568632
Provider Name
Warren L. Kent D.p.m. P.c.
Credential
Provider Entity Type
Organization
Address
136 Terryville Rd, Port Jefferson Station, NY, 11776-1330
Phone Number
631-928-1815
Fax Number
631-928-2945
Provider Enumeration Date
10/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00633069 05 NY
institution
Provider Business Practice Location Address Details
Address
136 Terryville Rd
City
State
Zip
11776-1330
Phone Number
631-928-1815
Fax Number
631-928-2945
person
Provider Business Mailing Address Details
Address
136 Terryville Rd
City
State
Zip
11776-1330
Phone Number
631-928-1815
Fax Number
631-928-2945
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
003191 (New York)
Definition
Definition to come...
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