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Jimmy Chan

Orthopaedic Surgery in Scarsdale, NY. Individual provider (NPI-1).

NPI number1366898645
StatusActive
Last updated in NPPESNov 6, 2020

Details

NPI
1366898645
Entity type
Individual (NPI-1)
Name
Jimmy Chan
Sex
Male
Sole proprietor
Yes
Enumeration date
May 5, 2016
Certification date
Nov 6, 2020
Last updated
Nov 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery290437NYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

7 Hidden Ridge Ct
Scarsdale, NY 10583-4624

Phone 914-471-0667

Mailing address

555 Central Park Ave
Apt 112
Scarsdale, NY 10583-1049

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Other Orthopaedic Surgery Physician providers in Scarsdale, NY

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