Healthcare Provider Details

I. General information

NPI: 1649184367
Provider Name (Legal Business Name): KEKATOS PODIATRY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 VETERANS MEMORIAL HWY STE 1
COMMACK NY
11725-3452
US

IV. Provider business mailing address

69 VETERANS MEMORIAL HWY STE 1
COMMACK NY
11725-3452
US

V. Phone/Fax

Practice location:
  • Phone: 631-462-2033
  • Fax:
Mailing address:
  • Phone: 631-462-2033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. PARISKEVI KEKATOS
Title or Position: PODIATRIST
Credential: DPM
Phone: 631-462-2033