person
Dr. Jake S Kwon, DPM
Primary Podiatric Medicine Podiatrist in Bayside, New York
NPI 1629129887

Jake S Kwon is a Primary Podiatric Medicine Podiatrist based in Roslyn, NY and is specialized in Primary Podiatric Medicine. Jake S Kwon practices in Bayside, NY and has the professional credentials of DPM. The NPI Number for Jake S Kwon is 1629129887 and holds a License No. 25MD002511 (New York).

The current practice location address for Jake S Kwon is 4232 Francis Lewis Blvd # C, Bayside, NY and can be reached out via phone at 646-389-6485.

Location: 4232 Francis Lewis Blvd # C, Bayside, NY, 11576-1323
person
Provider Profile Details
NPI Number
1629129887
Provider Name
Jake S Kwon
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4232 Francis Lewis Blvd # C, Bayside, NY, 11576-1323
Phone Number
646-389-6485
Fax Number
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4232 Francis Lewis Blvd # C
City
State
Zip
11361-2561
Phone Number
646-389-6485
Fax Number
person
Provider Business Mailing Address Details
Address
4232 Francis Lewis Blvd # C
City
State
Zip
11361-2561
Phone Number
646-389-6485
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
N005468 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
25MD002511 (New Jersey)
Definition
Definition to come...
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