Organization
KS PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWANGSU KIM DPM (PRESIDENT)
(718) 229-9200
Entity
Organization
Contact information
Practice address
21909 NORTHERN BLVD, BAYSIDE, NY 11361-3525
(718) 229-9200
(866) 668-7533
Mailing address
995 OLD COUNTRY RD, PLAINVIEW, NY 11803-4906
(718) 229-9200
(866) 668-7533
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006264
NY
Other
Enumeration date
03/30/2013
Last updated
10/22/2025
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