DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MATTHEW KASSNOVE, D.P.M.

Active Sole Proprietor

DR. MATTHEW KASSNOVE, D.P.M. is a Foot Surgery Podiatrist healthcare provider located in PATCHOGUE, New York. NPI 1346226909 is currently active in the NPPES registry. Verify at CMS.

Foot Surgery Podiatrist · PATCHOGUE, NY

Registration Details

NPI Number
1346226909
Provider Type
Individual
Gender
Male
NPI Issued
Dec 15, 2005 (20.709484020676 yrs)
Last Updated
Jan 8, 2013
License
N005591 (NY)
Sole Proprietor
Yes

Practice Information

Address
440 WAVERLY AVE STE 3
SUITE 3
PATCHOGUE, NY, 117721597
Browse NY providers · Browse ZIP 11772
Phone
6316543838
Fax
6316543832
Primary Specialty
Foot Surgery Podiatrist
213ES0131X

Other Foot Surgery Podiatrist Providers in PATCHOGUE, NY

Name Credential NPI
EDWARD J KORMYLO DPM 1568436392
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.