Individual
SAMUEL KAREL VAN DE VELDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
515 6TH STREET, 4TH FLOOR, BROOKLYN, NY 11215
(718) 246-8700
Mailing address
622 W 168TH ST PH 11, NEW YORK, NY 10032-3720
(718) 246-8772
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
306508
NY
207XP3100X
Pediatric Orthopaedic Surgery Physician
MDRE.ML.60979056
WA
Other
Enumeration date
08/30/2019
Last updated
12/29/2022
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