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

EDWARD J KORMYLO, DPM

Active Sole Proprietor

EDWARD J KORMYLO, DPM is a Foot Surgery Podiatrist healthcare provider located in PATCHOGUE, New York. NPI 1568436392 is currently active in the NPPES registry. Verify at CMS.

Foot Surgery Podiatrist · PATCHOGUE, NY

Registration Details

NPI Number
1568436392
Provider Type
Individual
Gender
Male
NPI Issued
Feb 16, 2006 (20.535224151906 yrs)
Last Updated
Oct 28, 2022
License
N003100 (NY)
Sole Proprietor
Yes

Practice Information

Address
33 MEDFORD AVE STE D
PATCHOGUE, NY, 117721222
Browse NY providers · Browse ZIP 11772
Phone
6316874190
Fax
6316874199
Primary Specialty
Foot Surgery Podiatrist
213ES0131X

Other Foot Surgery Podiatrist Providers in PATCHOGUE, NY

Name Credential NPI
DR. MATTHEW KASSNOVE D.P.M. 1346226909
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.