Deer Park South Shore Podiatry PC
NPI #1821765736 in North Babylon, New York
Provider Information
- NPI Number
- 1821765736
- Entity Type
- Organization
- Organization Name
- Deer Park South Shore Podiatry PC
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- Aug 27, 2021
- Last Updated
- Aug 27, 2021
Practice Location
- Address
- 1428 DEER PARK AVE
- City
- North Babylon
- State
- New York
- ZIP Code
- 11703-1623
- Phone
- (631) 586-3388
Authorized Official
- Name
- RONALD KIM, DPM
- Title
- OWNER
- Phone
- (631) 586-3388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
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