Individual
JOSUE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
530 1ST AVE STE 9V, NEW YORK, NY 10016-6402
(212) 263-3982
Mailing address
1238 DECATUR ST APT 15, BROOKLYN, NY 11207-2074
(407) 480-9617
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F431459-1
NY
Other
Enumeration date
02/02/2019
Last updated
02/02/2019
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