DANIEL KORMYLO DPM NPI 1083885461

NPI Information

NPI: 1083885461
Provider Name: DANIEL KORMYLO, DPM
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
745 ROUTE 25A
ROCKY POINT, NY
ZIP 11778
Phone: (631) 744-8282
Get Directions

DANIEL KORMYLO, DPM is a customized equipment durable medical equipment medical supplies in Rocky Point, NY. DANIEL KORMYLO, DPM NPI is 1083885461. The provider is registered as an organization entity type.

The provider's business location address is:

745 ROUTE 25A
ROCKY POINT, NY
ZIP 11778-552
Phone: (631) 744-8282
Fax: (631) 821-5583

The provider's authorized official is Daniel Kormylo .
The authorized official title is Owner and has the following contact phone number (631) 744-8282.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 6/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	N004250	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1049990002	MEDICARE NSC	NEW YORK
2	T51457	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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