George D Emmons Dpm PC

NPI #1710236856 in Lake Ronkonkoma, New York

Provider Information

NPI Number: 1710236856
Entity Type: Organization
Organization Name: George D Emmons Dpm PC
Primary Specialty: Podiatrist
Enumeration Date: Sep 5, 2012
Last Updated: Sep 5, 2012

Practice Location

Address: 388 HAWKINS AVE
City: Lake Ronkonkoma
State: New York
ZIP Code: 11779-4280
Phone: (631) 585-0045

Authorized Official

Name: MARY PALAZZO
Title: OFFICE MANAGER
Phone: (631) 585-0045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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