Kevin Shim, DPM | |
620 Suffolk Ave, Brentwood, NY 11717-4306 | |
(631) 968-5600 | |
Not Available |
Full Name | Kevin Shim |
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Gender | Male |
Speciality | Podiatrist |
Location | 620 Suffolk Ave, Brentwood, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184116584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 007146 (New York) | Primary |
Provider Name | Ny Foot & Ankle Specialist Dpm Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851472419 PECOS PAC ID: 1850398777 Enrollment ID: O20061107000124 |
Mailing Address | Practice Location Address |
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Kevin Shim, DPM 620 Suffolk Ave, Brentwood, NY 11717-4306 Ph: (631) 968-5600 | Kevin Shim, DPM 620 Suffolk Ave, Brentwood, NY 11717-4306 Ph: (631) 968-5600 |
Ny Foot & Ankle Specialists Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-231-1401 | |
Dr. Peter John Mancuso, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-231-1401 Fax: 631-273-0125 | |
Ny Foot & Ankle Specialist Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-231-1401 Fax: 631-273-0125 | |
Optimum Podiatry Group Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-968-5600 |