Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ks Podiatry PC

Organization Foot & Ankle Surgery Podiatrist · NPI 1710220561

Ks Podiatry PC is a Foot & Ankle Surgery Podiatrist in Bayside, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

21909 Northern Blvd
Bayside, NY 11361-3525
Phone: (718) 229-9200
Fax: (866) 668-7533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence N006264 (NY)

Record details

NPI number1710220561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kwangsu Kim — President · (718) 229-9200
NPI enumeratedMarch 30, 2013
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address995 Old Country Rd, Plainview, NY 11803-4906

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