Individual
JIMMY VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
443 LINDEN BLVD, BROOKLYN, NY 11203-2821
(718) 282-6333
(718) 765-0545
Mailing address
443 LINDEN BLVD, BROOKLYN, NY 11203-2821
(718) 282-6333
(718) 765-0545
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
N006604
NY
Other
Enumeration date
06/28/2011
Last updated
03/13/2015
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