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NPI Code Detail

MEDICARE: SK PODIATRY PC

MEDICARE: SK PODIATRY PC
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
1213ES0103XFoot & Ankle Surgery Podiatrist

General Provider Information

NPI Number : 1225606593
Entity Type Code : Organization
Provider Name (Legal Business Name) : SK PODIATRY PC
Provider Business Mailing Address
First Line : 5908 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4071
Country : US
Telephone Number : 718-439-8488
Fax Number :
Provider Business Practice Location Address
First Line : 5908 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4071
Country : US
Telephone Number : 718-439-8488
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SANGHO KIM
Credential : DPM
Telephone Number : 347-556-8045
Provider Enumeration Date : 06/14/2021
Last Update Date : 09/21/2021

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Directions to “SK PODIATRY PC ” Practice Location

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