Victor Jimenez

NPI #1104639459 in Glen Oaks, New York

Provider Information

NPI Number: 1104639459
Entity Type: Individual
Name: Victor Jimenez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jan 30, 2025
Last Updated: Jan 30, 2025

Practice Location

Address: 26142 LANGSTON AVE # A
City: Glen Oaks
State: New York
ZIP Code: 11004-1041
Phone: (646) 512-1430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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