MEDICARE: DR. DANIEL KORMYLO DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N004250	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	480008364	OTHER		MEDICARE RAILROAD
3	1049990002	OTHER	NY	MEDICARE DME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699776674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL KORMYLO DPM

Provider Business Mailing Address
First Line	:	PO BOX 5153
Second Line	:
City	:	ROCKY POINT
State	:	NY
Zip	:	11778-0969
Country	:	US
Telephone Number	:	631-744-8282
Fax Number	:	631-821-5583

Provider Business Practice Location Address
First Line	:	745 RT 25A
Second Line	:	SUITE B
City	:	ROCKY POINT
State	:	NY
Zip	:	11778-0969
Country	:	US
Telephone Number	:	631-744-8282
Fax Number	:	631-821-5583

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	03/04/2026

Similar Medicare Providers

1144176330 — THE COUNSELING COVE LCSW PC
Practice Location Address:

72 FRIENDSHIP DR
ROCKY POINT, NY
11778-9659

Practice Phone: 631-209-7054
Practice Fax:

1538427802 — VICTORIA ELENA SHACK DDS
Practice Location Address:

31 FAIRWAY DR
ROCKY POINT, NY
11778-9433

Practice Phone: 631-928-7500
Practice Fax: 631-928-7501

1407852940 — DR. DAVID NEILD PRENTISS M.D.
Practice Location Address:

47 ROUTE 25A
ROCKY POINT, NY
11778-8846

Practice Phone: 631-821-5900
Practice Fax: 631-821-5906

1376541912 — JOHN J GIL MD
Practice Location Address:

575 ROUTE 25A
ROCKY POINT, NY
11778-8886

Practice Phone: 631-821-9000
Practice Fax: 631-821-9114

1013918812 — DR. SCOTT MCWILLIAMS MD
Practice Location Address:

170 ROUTE 25A
ROCKY POINT, NY
11778

Practice Phone: 631-331-4377
Practice Fax: 631-331-4459

1841289998 — MR. VINCENT PATRICK LEE RN, NP
Practice Location Address:

69 BROOKHAVEN DR
ROCKY POINT, NY
11778-9355

Practice Phone: 631-744-2614
Practice Fax: 631-849-3542

Directions to “ DR. DANIEL KORMYLO DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.