Individual
JIMMY CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 HIDDEN RIDGE CT, SCARSDALE, NY 10583-4624
(914) 471-0667
Mailing address
555 CENTRAL PARK AVE, APT 112, SCARSDALE, NY 10583-1049
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
290437
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2016
Last updated
11/06/2020
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