Individual
DR. JOHN JOSEPH KOLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
265 POST AVE, SUITE 220, WESTBURY, NY 11590-2233
(516) 338-8802
(516) 338-4043
Mailing address
265 POST AVE, SUITE 220, WESTBURY, NY 11590-2233
(516) 338-8802
(516) 338-4043
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N005450
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N005450
NY
213ES0000X
Sports Medicine Podiatrist
N005450
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
N005450
NY
213ES0131X
Foot Surgery Podiatrist
Primary
N005450
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01882686
—
NY
01
—
PA5491
MEDICARE
NY
Enumeration date
08/09/2005
Last updated
01/17/2013
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