Henry Jimenez is a Specialist based in Brentwood, NY. Henry Jimenez practices in Brentwood, NY. The NPI Number for Henry Jimenez is 1114119963 and holds a License No. 007546 (New York).
The current practice location address for Henry Jimenez is 190 Elliot St, Brentwood, NY and can be reached out via phone at 631-952-2395.
Location: 190 Elliot St, Brentwood, NY, 11717-5802
Provider Profile Details
NPI Number
1114119963
Provider Name
Henry Jimenez
Credential
Provider Entity Type
Individual
Gender
Male
Address
190 Elliot St, Brentwood, NY, 11717-5802
Phone Number
631-952-2395
Fax Number
Provider Enumeration Date
08/15/2007
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007546 | 01 | NY | LICENSE |
Provider Business Practice Location Address Details
Address
190 Elliot St
City
State
Zip
11717-5802
Phone Number
631-952-2395
Fax Number
Provider Business Mailing Address Details
Address
190 Elliot St
City
State
Zip
11717-5802
Phone Number
631-952-2395
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
007546 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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