Organization
EAST PATCHOGUE PODIATRY P.C.
Active
Parent organization
EAST PATCHOGUE PODIATRY P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST PATCHOGUE PODIATRY P.C.
Authorized official
EDWARD J KORMYLO DPM (PODIATRIST/OWNER)
(631) 654-5566
Entity
Organization
Contact information
Practice address
283 COMMACK RD STE 125, COMMACK, NY 11725-3447
(631) 499-3505
Mailing address
285 SILLS RD BLDG 17, EAST PATCHOGUE, NY 11772-4808
(631) 654-5566
(631) 654-8250
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
07/02/2026
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