Kormylo, Daniel
Kormylo, Daniel is an sole proprietor health care provider with primary practice located at 745 Rt 25A Suite B, Rocky Point NY 11778-0969. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kormylo, Daniel can be contacted via phone (631) 744-8282.Contact Information
Primary practice address
745 Rt 25A Suite B
Rocky Point NY 11778-0969
Phone: (631) 744-8282
Fax: (631) 821-5583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N004250 | New York |
Profile Details
| NPI number | 1699776674 |
|---|---|
| LBN Legal business name | Kormylo, Daniel |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Mar 4th, 2026 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699776674 | NPPES |
| New York | MEDICAID | 01070722 | |
| New York | Other | 480008364 | |
| New York | Other | 1049990002 |
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