Individual
DR. JUNE G KASMINOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
666 OLD BETHPAGE RD, OLD BETHPAGE, NY 11804-1219
(516) 586-4055
Mailing address
666 OLD BETHPAGE RD, OLD BETHPAGE, NY 11804-1219
(516) 586-4055
(516) 777-4565
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N004947
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06149238
—
NY
01
—
113298176
TAX ID
NY
01
—
P60351
BC/BS
NY
Enumeration date
09/30/2006
Last updated
11/30/2011
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