Mr. John Ricardo Jimenez
Mr. John Ricardo Jimenez is a Specialist in Central Islip, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2012
Practice location Address checks out
83 Pinewood AveCentral Islip, NY 11722-3213
Phone: (631) 761-6029
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X (NY) |
|---|
Record details
| NPI number | 1982965059 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2012 |
| Last updated in NPPES | June 5, 2012 |
| Mailing address | 83 Pinewood Ave, Central Islip, NY 11722-3213 |
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