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Mr. John Ricardo Jimenez
Specialist in Central Islip, New York
NPI 1982965059

John Ricardo Jimenez is a Specialist based in Central Islip, NY. John Ricardo Jimenez practices in Central Islip, NY. The NPI Number for John Ricardo Jimenez is 1982965059 and holds a License No. (New York).

The current practice location address for John Ricardo Jimenez is 83 Pinewood Ave, Central Islip, NY and can be reached out via phone at 631-761-6029.

Location: 83 Pinewood Ave, Central Islip, NY, 11722-3213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982965059
Provider Name
John Ricardo Jimenez
Credential
Provider Entity Type
Individual
Gender
Male
Address
83 Pinewood Ave, Central Islip, NY, 11722-3213
Phone Number
631-761-6029
Fax Number
Provider Enumeration Date
06/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
83 Pinewood Ave
City
Central Islip
State
New York
Zip
11722-3213
Phone Number
631-761-6029
Fax Number
person
Provider Business Mailing Address Details
Address
83 Pinewood Ave
City
Central Islip
State
New York
Zip
11722-3213
Phone Number
631-761-6029
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(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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