Ronkonkoma Podiatry Center | |
388 Hawkins Ave, Lake Ronkonkoma, NY 11779-4280 | |
(631) 585-0045 | |
(631) 585-7860 |
Full Name | Ronkonkoma Podiatry Center |
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Type | Facility |
Speciality | Podiatrist |
Location | 388 Hawkins Ave, Lake Ronkonkoma, 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 |
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1710236856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | 005709 (New York) | Primary |
Provider Name | George D Emmons |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1598842577 PECOS PAC ID: 9234328543 Enrollment ID: I20110118000511 |
Mailing Address | Practice Location Address |
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Ronkonkoma Podiatry Center 388 Hawkins Ave, Lake Ronkonkoma, NY 11779-4280 Ph: (631) 585-0045 | Ronkonkoma Podiatry Center 388 Hawkins Ave, Lake Ronkonkoma, NY 11779-4280 Ph: (631) 585-0045 |
Dr. Myles Savitt, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 388 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-585-0045 Fax: 631-585-7860 | |
Dr. George Daniel Emmons, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 388 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-585-0045 Fax: 631-585-7860 |