Individual
JASON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
101 W 79TH ST, NEW YORK, NY 10024-6474
(212) 874-3578
Mailing address
438 52ND ST, APT B8, BROOKLYN, NY 11220-2706
(630) 544-1406
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007022
NY
Other
Enumeration date
06/02/2016
Last updated
04/05/2021
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