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DEER PARK SOUTH SHORE PODIATRY PC 1821765736

Overview
Name: DEER PARK SOUTH SHORE PODIATRY PC Specialty: Podiatric Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Podiatric. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: DEER PARK SOUTH SHORE PODIATRY PC,1428 DEER PARK AVE,NORTH BABYLON,NY,117031623,US Mailing Address: DEER PARK SOUTH SHORE PODIATRY PC,1428 DEER PARK AVE,NORTH BABYLON,NY,117031623,US
Contact #
Practice location phone #: 6315863388 Practice location fax #: 6315863394 Mailing address Phone #: 6315863388 Mailing Address fax #: 6315863394 Authorized official Name/Telephone #:RONALD, KIM, DPM, OWNER 6315863388
Misc
Date NPI was obtained: 08/27/2021 Last data data was updated: 08/27/2021 Insurances:

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