National Provider Identifier

Jimmy Dang

Jimmy Dang is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 815-4415.

NPI 1619852712Buffalo, NYPhysical Therapist

Profile Overview

NPI
1619852712
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 07, 2025
Last Updated
August 07, 2025

Practice Location

  • 1585 Hertel Ave
  • Buffalo, NY 14216-2997

Phone: (716) 815-4415

Mailing Address

  • 74 Franklin St Apt 403
  • Buffalo, NY 14202-4019

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1619852712
Entity Type
Individual
Last Name
Dang
First Name
Jimmy
Mailing Street Address
74 Franklin St Apt 403
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-4019
Mailing Country
US
Practice Street Address
1585 Hertel Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14216-2997
Practice Country
US
Practice Phone
(716) 815-4415
Enumeration Date
August 07, 2025
Last Updated
August 07, 2025
Sex
Male
Sole Proprietor
No
Certification Date
August 07, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)