Whalio Doctors

NPI 1366797789

Lawrence F Kobak, DPM

Practitioner Podiatrist Long Beach, NY

Practice location

Address
781 W Park Ave, Long Beach, NY 11561-2880
Phone
(516) 410-2835

Registered specialties

Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence N2667 (NY)

Registry record

NPI
1366797789
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Jul 2012
Record last updated
23 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.