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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