East Patchogue Podiatry P.C.

LBN: East Patchogue Podiatry P.C.
East Patchogue Podiatry P.C. is an health care organization with primary practice located at 285 Sills Rd Bldg 5-6 #H, East Patchogue NY 11772-4869. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. East Patchogue Podiatry P.C. can be contacted via phone (631) 654-5566, or through Kormylo, Edward James via phone (631) 654-5566.

Contact Information

Primary practice address
285 Sills Rd Bldg 5-6 #H East Patchogue NY 11772-4869
Phone: (631) 654-5566
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kormylo, Edward James Doctor of Podiatric Medicine (DPM)
Phone: (631) 654-5566

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1871775726
LBN Legal business name East Patchogue Podiatry P.C.
DBA Doing business as
Authorized official Kormylo, Edward James Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2007
Last updated Feb 27th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871775726 NPPES
New York MEDICAID 00588743

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