Kormylo, Daniel

Kormylo, Daniel is an sole proprietor health care provider with primary practice located at 745 Rt 25A Suite B, Rocky Point NY 11778-0969. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kormylo, Daniel can be contacted via phone (631) 744-8282.

Contact Information

Primary practice address
745 Rt 25A Suite B Rocky Point NY 11778-0969
Phone: (631) 744-8282
Fax: (631) 821-5583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004250 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 004250 New York

Profile Details

NPI number 1699776674
LBN Legal business name Kormylo, Daniel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Apr 3rd, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699776674 NPPES
New York MEDICAID 01070722
New York Other 480008364
New York Other 1049990002

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