Individual provider · Type 1 NPI
Stephanie Gimenez
Specialist · Port Washington, NY
NPI number
1336592104
Active
Practice location
2 Dunes Ln
Port Washington, NY 11050-1408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 1577119 (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 1336592104
Stephanie Gimenez's National Provider Identifier is 1336592104, issued on Jul 18, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Washington, NY. The record was last updated on Jul 18, 2016.