Organization
DEER PARK SOUTH SHORE PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD KIM DPM (OWNER)
(631) 586-3388
Entity
Organization
Contact information
Practice address
1428 DEER PARK AVE, NORTH BABYLON, NY 11703-1623
(631) 586-3388
(631) 586-3394
Mailing address
1428 DEER PARK AVE, NORTH BABYLON, NY 11703-1623
(631) 586-3388
(631) 586-3394
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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