National Provider Identifier

Sean Richard Van Aken, DPM

Sean Richard Van Aken, DPM is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist in Elmira, NY and a listed phone number of (607) 737-4422.

NPI 1417516543Elmira, NYFoot & Ankle Surgery Podiatrist

Profile Overview

NPI
1417516543
Provider Type
Individual
Primary Specialty
Foot & Ankle Surgery Podiatrist
Enumeration Date
June 12, 2019
Last Updated
August 15, 2023

Practice Location

  • 602 Ivy St
  • Elmira, NY 14905-1646

Phone: (607) 737-4422

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Foot & Ankle Surgery Podiatrist (213ES0103X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1417516543
Entity Type
Individual
Last Name
Van Aken
First Name
Sean
Middle Name
Richard
Name Prefix
Dr.
Credential
DPM
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 873-1244
Practice Street Address
602 Ivy St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1646
Practice Country
US
Practice Phone
(607) 737-4422
Practice Fax
(607) 735-5791
Enumeration Date
June 12, 2019
Last Updated
August 15, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
July 04, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Foot & Ankle Surgery Podiatrist (213ES0103X), Student in an Organized Health Care Education/Training Program (390200000X)