KEVIN JEONG, DPM, Podiatrist BROOKLYN, NY

Contact Information

KEVIN JEONG, DPM

374 STOCKHOLM ST
DEPARTMENT OF PODIATRY
BROOKLYN, NY 11237-4006

Phone: 425-512-6870
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Podiatrist	213E00000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for KEVIN JEONG · (Male)

NPI #	`1417362302`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	06/30/2014
Last updated	06/30/2014 - About 12 years ago
Sole proprietor ¹	Yes
Identifiers	NY License # R93511
Hospital affiliation(s)	NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care) 300 COMMUNITY DRIVE MANHASSET, NY 11030 PLAINVIEW HOSPITAL - (Acute Care) 888 OLD COUNTRY ROAD PLAINVIEW, NY 11803

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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