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NPI 1659848802

OrganizationActive

Suffolk Foot and Ankle

NPI 1659848802 · Podiatric Clinic/Center · Medford, NY

Provider details

NPI number: 1659848802
Entity type: Organization
Primary specialty: Podiatric Clinic/CenterAmbulatory Health Care Facilities
Parent organization: East Patchogue Podiatry P.C.
Authorized official: Edward Kormylo, Physician

Practice location

1641 Route 112

Medford, NY 11763-3663

Phone: (631) 447-0800

More NY providers

Mailing address

285 Sills Rd Bldg 15

East Patchogue, NY 11772-4869

Registry dates

Enumerated: 2018-10-25
Last updated: 2018-10-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Suffolk Foot and Ankle — NPI 1659848802, Medford, NY | NPI Central