# NYS PODIATRY PC

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

## Provider details

- **NPI number:** 1982299756
- **Authorized official:** KYONG KIM DPM (PRESIDENT)
- **Authorized official phone:** (786) 617-2905

## Contact information

- **Practice address:** 30 CENTRAL PARK S RM 1A, NEW YORK, NY 10019-1628
- **Practice address phone:** (347) 997-0485
- **Practice address fax:** (646) 762-5025
- **Mailing address:** 2 RACHEL AVE, COMMACK, NY 11725-3310
- **Mailing address phone:** (347) 997-0485
- **Mailing address fax:** (718) 599-3366

## Taxonomy

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

## Other

- **Enumeration date:** 03/04/2021
- **Last updated:** 12/22/2025