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Dr. Song Ki Yu, DPM
Podiatrist in Fairfield, Connecticut
NPI 1790770352

Song Ki Yu is a Podiatrist based in Fairfield, CT. Song Ki Yu practices in Fairfield, CT and has the professional credentials of DPM. The NPI Number for Song Ki Yu is 1790770352 and holds a License No. 000764 (Connecticut).

The current practice location address for Song Ki Yu is 1817 Black Rock Tpke, Fairfield, CT and can be reached out via phone at 203-330-8080 and via fax at 203-334-6924.

Location: 1817 Black Rock Tpke, Fairfield, CT, 06825-3546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790770352
Provider Name
Song Ki Yu
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1817 Black Rock Tpke, Fairfield, CT, 06825-3546
Phone Number
203-330-8080
Fax Number
203-334-6924
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5454010001 01 CT DME
institution
Provider Business Practice Location Address Details
Address
1817 Black Rock Tpke
City
Fairfield
State
Connecticut
Zip
06825-3546
Phone Number
203-330-8080
Fax Number
203-334-6924
person
Provider Business Mailing Address Details
Address
1817 Black Rock Tpke
City
Fairfield
State
Connecticut
Zip
06825-3546
Phone Number
203-330-8080
Fax Number
203-334-6924
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
000764 (Connecticut)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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