person
Mr. Henry Jimenez
Specialist in Brentwood, New York
NPI 1114119963

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. You can also correspond with Henry Jimenez through the mailing address at 190 ELLIOT ST, BRENTWOOD, NY - 11717-5802 (mailing address contact number: 631-952-2395).

Location: 190 Elliot St, Brentwood, NY, 11717-5802
person
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
007546 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
190 Elliot St
City
State
Zip
11717-5802
Phone Number
631-952-2395
Fax Number
person
Provider Business Mailing Address Details
Address
190 Elliot St
City
State
Zip
11717-5802
Phone Number
631-952-2395
Fax Number
person
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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