| Dr. P.kim Podiatry, P.c. | |
|
6083 Myrtle Ave, Ridgewood, NY 11385-5908 | |
| (718) 381-8402 | |
| (718) 497-7322 |
| Full Name | Dr. P.kim Podiatry, P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 6083 Myrtle Ave, Ridgewood, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396102828 | NPI | - | NPPES |
| 03450300 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 006427 (New York) | Primary |
| Provider Name | Paul Y Kim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831477280 PECOS PAC ID: 9537329511 Enrollment ID: I20120328000998 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. P.kim Podiatry, P.c. 18820b 69th Ave Apt 3b, Fresh Meadows, NY 11365-3705 Ph: (267) 979-9670 | Dr. P.kim Podiatry, P.c. 6083 Myrtle Ave, Ridgewood, NY 11385-5908 Ph: (718) 381-8402 |
Dr. Manjula Warad Shivputra, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17-31 60th Lane, Apt #311, Ridgewood, NY 11385 Phone: 347-398-7787 | |
Dr. P.kim Podiatry, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6083 Myrtle Ave, Ridgewood, NY 11385 Phone: 718-381-8402 Fax: 888-720-0690 | |
Dr. Paul Damian Giovinco, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7127 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-821-4097 | |
Dr. Karen Marie Aglietti, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6412 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-497-3000 Fax: 718-497-3335 | |
Fresh Pond Podiatry Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 6094 Putnam Ave, Ridgewood, NY 11385 Phone: 718-386-5100 | |
Middle Village Podiatry, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6412 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-497-3000 Fax: 718-497-3335 |