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Organization
MARIA LUCIA JIMENEZ, MA,PT,PC
Active
Organization
MARIA LUCIA JIMENEZ, MA,PT,PC
Active
Other names
Elmhurst Balance & Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. M. LUCIA JIMENEZ MA, PT (CLINICAL DIRECTOR)
(718) 205-3435
Entity
Organization
Contact information
Practice address
9131 QUEENS BLVD, SUITE 314, ELMHURST, NY 11373-5501
(718) 205-3435
(718) 205-2402
Mailing address
9131 QUEENS BLVD, SUITE 314, ELMHURST, NY 11373-5501
(718) 205-3435
(718) 205-2402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024486
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03245654
—
NY
01
—
9008690
CIGNA
NY
01
—
Q072P1
EMPIRE BC/BS
NY
Enumeration date
12/28/2010
Last updated
01/24/2011
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