Individual provider · Type 1 NPI

Tashira Marie Jimenez

Specialist · Flushing, NY

NPI number 1306109202 Active

Practice location

6750 164th St, APT5E
Flushing, NY 11365-3176

Call (347) 267-2672 Map

Fax (347) 960-9203

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X891349 (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 1306109202

Tashira Marie Jimenez's National Provider Identifier is 1306109202, issued on Jun 17, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Flushing, NY. The record was last updated on Jun 17, 2012.