Individual
PAUL Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2116 AVENUE P, BROOKLYN, NY 11229-1507
(718) 338-4850
(718) 338-7117
Mailing address
18820B 69TH AVE APT 3B, FRESH MEADOWS, NY 11365-3705
(267) 979-9670
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N006427
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006427
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03450300
—
NY
Enumeration date
08/02/2011
Last updated
01/05/2021
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