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Contact Information

EDWARD C KORMYLO, DPM
285 SILLS RD
BLDG. 15 SUITE D
EAST PATCHOGUE, NY11772-4869
 Phone: 631-654-5566
 Fax: 631-654-8250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EDWARD C KORMYLO · (Male)

NPI Number 1134373467
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/13/2008
Last updated 05/01/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 65 006296
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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