# TIME SQUARE PODIATRY PC

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

## Provider details

- **NPI number:** 1669201539
- **Authorized official:** SOOJI KIM (DPM)
- **Authorized official phone:** (212) 921-7900

## Contact information

- **Practice address:** 233 BROADWAY RM 1775, NEW YORK, NY 10279-1810
- **Practice address phone:** (212) 921-7900
- **Mailing address:** 233 BROADWAY RM 1775, NEW YORK, NY 10279-1810

## Taxonomy

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

## Other

- **Enumeration date:** 07/30/2024
- **Last updated:** 07/30/2024