Kevin Douglas, DPM

NPI 1174020598 · on the registry since 2018

Practice

Address: 100 Middle Country Rd
Coram, NY 11727
Phone: (631) 696-9636
Fax: (631) 696-9635
Organisation at this address: Coram Podiatry Pllc
Longwood Foot Care, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 213ES0103X
213ES0103X
Also registered as: 390200000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York