Organization
BRENT THOMAS KEMPF, D.P.M.
Active
Other names
Sayville Foot Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT THOMAS KEMPF D.P.M. (OWNER)
(631) 567-2888
Entity
Organization
Contact information
Practice address
110 LAKELAND AVE, SAYVILLE, NY 11782-1912
(631) 567-2888
(631) 567-2369
Mailing address
110 LAKELAND AVE, SAYVILLE, NY 11782-1912
(631) 567-2888
(631) 567-2369
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N005677
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02093709
—
NY
01
—
137686
VYTRA
—
01
—
1499422
GHI/EMBLEM HEALTH
—
01
—
7232934
CIGNA
—
01
—
P3265675
OXFORD
—
01
—
PJ8822
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/20/2009
Last updated
05/06/2010
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