MEDICARE: FLUSHING PODIATRY ASSOCIATES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942691761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLUSHING PODIATRY ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	3712 PRINCE ST STE 3D
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-4650
Country	:	US
Telephone Number	:	718-539-9001
Fax Number	:	718-539-9173

Provider Business Practice Location Address
First Line	:	3712 PRINCE ST STE 3D
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-4650
Country	:	US
Telephone Number	:	718-539-9001
Fax Number	:	718-539-9173

Authorized Official
Title or Position	:	DPM
Name	:	MICHAEL Y KWONG
Credential	:
Telephone Number	:	718-539-9001

Provider Enumeration Date	:	02/16/2015
Last Update Date	:	09/23/2023

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