| East Patchogue Podiatry P.c. | |
|
285 Sills Rd, Bldg 5-6 #h, East Patchogue, NY 11772-4869 | |
| (631) 654-5566 | |
| Not Available |
| Full Name | East Patchogue Podiatry P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 285 Sills Rd, East Patchogue, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871775726 | NPI | - | NPPES |
| 00588743 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Edward J Kormylo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568436392 PECOS PAC ID: 2466582325 Enrollment ID: I20100621000047 |
| Provider Name | Kristina A Karlic |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316191398 PECOS PAC ID: 6608909791 Enrollment ID: I20100726000610 |
| Provider Name | Edward C Kormylo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134373467 PECOS PAC ID: 8224221353 Enrollment ID: I20101021001062 |
| Provider Name | Sara R El Bashir |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396189585 PECOS PAC ID: 3476834441 Enrollment ID: I20170105001315 |
| Provider Name | John Randazzo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962922047 PECOS PAC ID: 5890030878 Enrollment ID: I20201023000624 |
| Provider Name | Joseph Zehentner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588227524 PECOS PAC ID: 2062749641 Enrollment ID: I20220629000148 |
| Provider Name | Sandra Zawadka |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164050704 PECOS PAC ID: 5496119695 Enrollment ID: I20230906002763 |
| Provider Name | Vincent Gallo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144803883 PECOS PAC ID: 7416488853 Enrollment ID: I20241009001737 |
| Mailing Address | Practice Location Address |
|---|---|
| East Patchogue Podiatry P.c. 285 Sills Rd, Bldg 5-6 #h, East Patchogue, NY 11772-4869 Ph: (631) 654-5566 | East Patchogue Podiatry P.c. 285 Sills Rd, Bldg 5-6 #h, East Patchogue, NY 11772-4869 Ph: (631) 654-5566 |
Dr. Edward C Kormylo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 285 Sills Rd, Bldg. 15 Suite D, East Patchogue, NY 11772 Phone: 631-654-5566 Fax: 631-654-8250 | |
New York University Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Rd Ste 115, East Patchogue, NY 11772 Phone: 631-228-5830 Fax: 929-455-9827 | |
Dr. Kristina Adriana Karlic, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 285 Sills Rd, East Patchogue, NY 11772 Phone: 631-654-5566 | |
Dr. Brittany Lynn Hervey, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 285 Sills Rd Bldg 15d, East Patchogue, NY 11772 Phone: 631-654-5566 Fax: 631-654-8250 | |
Dr. Joseph Michael Zehentner, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 285 Sills Rd Bldg 17, East Patchogue, NY 11772 Phone: 631-654-5566 Fax: 631-654-8250 | |
Dr. John Randazzo Jr., DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 285 Sills Rd Ste D, East Patchogue, NY 11772 Phone: 631-654-5566 |