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Organization
DR. P.KIM PODIATRY, P.C.
Active
Organization
DR. P.KIM PODIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL Y KIM DPM (PRESIDENT)
(267) 979-9670
Entity
Organization
Contact information
Practice address
6083 MYRTLE AVE, RIDGEWOOD, NY 11385-5908
(718) 381-8402
(888) 720-0690
Mailing address
18820B 69TH AVE APT 3B, FRESH MEADOWS, NY 11365-3705
(646) 762-4331
(888) 720-0690
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04389222
—
NY
Enumeration date
01/19/2021
Last updated
07/09/2026
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