Individual
KEVIN SHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1810 UNION BLVD, BAY SHORE, NY 11706-7923
(631) 968-5600
(631) 328-1627
Mailing address
1810 UNION BLVD, BAY SHORE, NY 11706-7923
(631) 968-5600
(631) 328-1627
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
007146
NY
213ES0131X
Foot Surgery Podiatrist
Primary
007146
NY
Other
Enumeration date
05/31/2018
Last updated
06/13/2025
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