Individual provider · Type 1 NPI

Henry Jimenez

Specialist · Brentwood, NY

NPI number 1114119963 Active

Practice location

190 Elliot St
Brentwood, NY 11717-5802

Call (631) 952-2395 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X007546 (NY)

Specialist: 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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About NPI 1114119963

Henry Jimenez's National Provider Identifier is 1114119963, issued on Aug 15, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brentwood, NY. The record was last updated on Aug 15, 2007.