Organization
WARREN L. KENT D.P.M. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN KENT D.P.M. (PRESIDENT)
(631) 928-1815
Entity
Organization
Contact information
Practice address
136 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1330
(631) 928-1815
(631) 928-2945
Mailing address
136 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1330
(631) 928-1815
(631) 928-2945
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
003191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00633069
—
NY
Enumeration date
10/03/2007
Last updated
08/20/2008
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