# DR. P.KIM PODIATRY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164012746
- **Authorized official:** PAUL Y KIM DPM (PRESIDENT)
- **Authorized official phone:** (267) 979-9670

## Contact information

- **Practice address:** 6083 MYRTLE AVE, RIDGEWOOD, NY 11385-5908
- **Practice address phone:** (718) 381-8402
- **Practice address fax:** (888) 720-0690
- **Mailing address:** 18820B 69TH AVE APT 3B, FRESH MEADOWS, NY 11365-3705
- **Mailing address phone:** (646) 762-4331
- **Mailing address fax:** (888) 720-0690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2021
- **Last updated:** 07/09/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04389222 | — | NY |