Organization
GEORGE D EMMONS DPM PC
Active
Other names
Ronkonkoma Podiatry Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PALAZZO (OFFICE MANAGER)
(631) 585-0045
Entity
Organization
Contact information
Practice address
388 HAWKINS AVE, LAKE RONKONKOMA, NY 11779-4280
(631) 585-0045
(631) 585-7860
Mailing address
388 HAWKINS AVE, LAKE RONKONKOMA, NY 11779-4280
(631) 585-0045
(631) 585-7860
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
005709
NY
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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