Individual
DR. EDWARD C KORMYLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
285 SILLS RD, BLDG. 15 SUITE D, EAST PATCHOGUE, NY 11772-4869
(631) 654-5566
(631) 654-8250
Mailing address
285 SILLS RD, BLDG. 15 SUITE D, EAST PATCHOGUE, NY 11772-4869
(631) 654-5566
(631) 654-8250
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
65 006296
NY
Other
Enumeration date
11/13/2008
Last updated
05/01/2013
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