Individual provider · Type 1 NPI

Maryanne Jimenez

Specialist · Manorville, NY

NPI number 1174869945 Active

Practice location

132 Head Of The Neck Rd
Manorville, NY 11949-9520

Call (631) 909-1139 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1174869945

Maryanne Jimenez's National Provider Identifier is 1174869945, issued on Dec 21, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Manorville, NY. The record was last updated on Dec 21, 2012.