DR. P.KIM PODIATRY P.C. NPI 1396102828

NPI Information

NPI: 1396102828
Provider Name: DR. P.KIM PODIATRY, P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2116 AVENUE P
BROOKLYN, NY
ZIP 11229
Phone: (718) 338-4850
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DR. P.KIM PODIATRY, P.C. is a foot and ankle surgery podiatrist in Brooklyn, NY. DR. P.KIM PODIATRY, P.C. NPI is 1396102828. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2116 AVENUE P
BROOKLYN, NY
ZIP 11229-507
Phone: (718) 338-4850
Fax: (888) 720-0690

The provider's authorized official is Paul Y Kim .
The authorized official title is Owner, Ceo and has the following contact phone number (267) 979-9670.

The enumeration date for this NPI number is 1/28/2016 and was last updated on 1/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	006427	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03450300	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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