June G Kasminoff, DPM
Individual provider Active NPI Primary Podiatric Medicine Podiatrist · Old Bethpage, NY
NPI 1154414530 · NPPES record last updated Nov 30, 2011
Key facts
- NPI
- 1154414530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Podiatric Medicine Podiatrist 213EP1101X
- License
- N004947 (NY)
- Practice address
- 666 Old Bethpage Rd
Old Bethpage, NY 11804-1219 - Phone
- (516) 586-4055
- NPI assigned
- Sep 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004947 | NY | MD | Primary Podiatric Medicine Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | N004947 | NY | Yes |
Addresses
Primary practice location
666 Old Bethpage Rd
Old Bethpage, NY 11804-1219
Mailing address
666 Old Bethpage Rd
Old Bethpage, NY 11804-1219
Phone (516) 586-4055
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113298176 | Other | NY | TAX ID |
| 06149238 | Medicaid | NY | |
| P60351 | Other | NY | BC/BS |
Other providers in Old Bethpage, NY
- Alison Jill Greenspon
- Katya Gurbeloshvili
- Andrea Hansen
- Jennifer a. Levy LCSW P.C.
- Meredith Ann Kanner
- Samantha Kennedy
- Alissa Keschner
- Jodi Michele Kirschner
- Mikelle Lara Kirschner
- Andrea Barbara Kiss
All providers in Old Bethpage, NY · Primary Podiatric Medicine Podiatrist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.