Emmons, George Daniel

Emmons, George Daniel is an individual health care provider with primary practice located at 388 Hawkins Ave , Lake Ronkonkoma NY 11779-4280. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Emmons, George Daniel can be contacted via phone (631) 585-0045.

Contact Information

Primary practice address
388 Hawkins Ave Lake Ronkonkoma NY 11779-4280
Phone: (631) 585-0045
Fax: (631) 585-7860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005709 New York

Profile Details

NPI number 1598842577
LBN Legal business name Emmons, George Daniel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 4th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598842577 NPPES
Other 130904 VYTRA
Other P2654015 VYTRA
Other PG8341 VYTRA
MEDICAID 02216448 VYTRA
Other 2154835 VYTRA

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