# JIMMY VAN DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205280252
- **Authorized official:** JIMMY VAN DPM (PODIATRIST)
- **Authorized official phone:** (718) 844-1955

## Contact information

- **Practice address:** 833 58TH ST, BROOKLYN, NY 11220-3609
- **Practice address phone:** (718) 844-1955
- **Mailing address:** 833 58TH ST, BROOKLYN, NY 11220-3609
- **Mailing address phone:** (718) 844-1955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | 006604 | NY | Yes |

## Other

- **Enumeration date:** 04/15/2016
- **Last updated:** 04/15/2016