Organization
JIMMY VAN DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY VAN DPM (PODIATRIST)
(718) 844-1955
Entity
Organization
Contact information
Practice address
833 58TH ST, BROOKLYN, NY 11220-3609
(718) 844-1955
Mailing address
833 58TH ST, BROOKLYN, NY 11220-3609
(718) 844-1955
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
006604
NY
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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