MR. Henry Jimenez

NPI #1114119963 in Brentwood, New York

Provider Information

NPI Number: 1114119963
Entity Type: Individual
Name: MR. Henry Jimenez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 15, 2007
Last Updated: Aug 15, 2007

Practice Location

Address: 190 ELLIOT ST
City: Brentwood
State: New York
ZIP Code: 11717-5802
Phone: (631) 952-2395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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