Daniel Kormylo, DPM

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

N004250 Issued in NY

Legal business name

DANIEL KORMYLO, DPM

Practice address

745 Route 25a
Rocky Point, NY 11778-9552

Phone

(631) 744-8282

Fax

(631) 821-5583

NPI assigned

Mar 13, 2008

Organization subpart

Yes

Parent organization

DANIEL KORMYLO, DPMAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel Kormylo, DPMNPI 1699776674

Title

Owner

Phone

(631) 744-8282

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Kormylo, DPM

  • Podiatrist
  • Rocky Point, NY
  • NPI 1699776674
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1083885461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5153",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117780969",
            "telephone_number": "631-744-8282",
            "fax_number": "631-821-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 ROUTE 25A",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789552",
            "telephone_number": "631-744-8282",
            "fax_number": "631-821-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL KORMYLO, DPM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANIEL KORMYLO, DPM",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "KORMYLO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-744-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "N004250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Joseph Coyle
• Kim Anne Cunningham, LCSW
• CVS Albany LLC
• D. Gentile, DO, PC
• Lorraine Daly, MA, MS, NCSP
• Melissa Ann Day, CRNA
• William De Blasio
• Helenann Marie Dean, L.M.T.
• Decerina Uy MD PC
• Donna M Defilippi, CRNA

• Customized Equipment (DME) in Rocky Point, NY
• Providers in Rocky Point, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.