Individual
DR. JAKE S KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4232 FRANCIS LEWIS BLVD # C, BAYSIDE, NY 11361-2561
(646) 389-6485
Mailing address
81 PILGRIM LN, WESTBURY, NY 11590-6218
(646) 389-6485
(718) 939-9865
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N005468
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD002511
NJ
Other
Enumeration date
01/15/2007
Last updated
03/05/2026
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