Organization
JIMMY CHAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY CHAN MD (MEMBER)
(914) 471-0667
Entity
Organization
Contact information
Practice address
130 E 77TH ST FL HALL7, NEW YORK, NY 10075-1851
(914) 471-0667
Mailing address
656 CENTRAL PARK AVE # 168, SCARSDALE, NY 10583-2512
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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