Individual
MRS. CLARA INES JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
100 LAWRENCE ST, FARMINGDALE, NY 11735-3018
(516) 586-5172
(516) 694-4686
Mailing address
100 LAWRENCE ST, FARMINGDALE, NY 11735-3018
(516) 586-5172
(516) 694-4686
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
03/04/2007
Last updated
07/25/2007
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