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NPI 1821765736

OrganizationActive

Deer Park South Shore Podiatry PC

NPI 1821765736 · Podiatric Clinic/Center · North Babylon, NY

Provider details

NPI number: 1821765736
Entity type: Organization
Primary specialty: Podiatric Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Ronald Kim, Owner

Practice location

1428 Deer Park Ave

North Babylon, NY 11703-1623

Phone: (631) 586-3388

Fax: (631) 586-3394

More NY providers

Mailing address

1428 Deer Park Ave

North Babylon, NY 11703-1623

Registry dates

Enumerated: 2021-08-27
Last updated: 2021-08-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Deer Park South Shore Podiatry PC — NPI 1821765736, North Babylon, NY | NPI Central