Individual provider · Type 1 NPI
Changrae Kim, DPM
Foot & Ankle Surgery Podiatrist · Maspeth, NY
NPI number
1083022149
Active
Practice location
6508 Grand Ave
Maspeth, NY 11378-2423
Mailing address
2 Bay Club Dr Apt 5X
Bayside, NY 11360-2921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 006653 (NY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Maspeth
About NPI 1083022149
Changrae Kim, DPM's National Provider Identifier is 1083022149, issued on Jul 31, 2014. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Maspeth, NY. The record was last updated on Aug 31, 2014.