Maryanne Jimenez
NPI #1174869945 in Manorville, New York
Provider Information
- NPI Number
- 1174869945
- Entity Type
- Individual
- Name
- Maryanne Jimenez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 21, 2012
- Last Updated
- Dec 21, 2012
Practice Location
- Address
- 132 HEAD OF THE NECK RD
- City
- Manorville
- State
- New York
- ZIP Code
- 11949-9520
- Phone
- (631) 909-1139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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