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: