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Organization
FAMILY FOOT CARE OF LONG ISLAND, PLLC
Active
Organization
FAMILY FOOT CARE OF LONG ISLAND, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT THOMAS KEMPF D.P.M. (PARTNER)
(631) 567-2888
Entity
Organization
Contact information
Practice address
1 MEDICAL DR STE B, PORT JEFFERSON STATION, NY 11776-1599
(631) 928-8383
(631) 928-8388
Mailing address
1 MEDICAL DR STE B, PORT JEFFERSON STATION, NY 11776-1599
(631) 928-8383
(631) 928-8388
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
06/06/2016
Last updated
02/11/2023
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