Individual provider · Type 1 NPI

John Ricardo Jimenez

Specialist · Central Islip, NY

NPI number 1982965059 Active

Practice location

83 Pinewood Ave
Central Islip, NY 11722-3213

Call (631) 761-6029 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 1982965059

John Ricardo Jimenez's National Provider Identifier is 1982965059, issued on Jun 5, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Central Islip, NY. The record was last updated on Jun 5, 2012.