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Organization
KWON PODIATRY PC
Active
Organization
KWON PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAKE S KWON DPM (DOCTOR)
(917) 923-7735
Entity
Organization
Contact information
Practice address
4232 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-2561
(646) 389-6485
Mailing address
81 PILGRIM LN, WESTBURY, NY 11590-6218
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
03/05/2026
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