Individual
ALFY JIMENEZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6120 WOODSIDE AVE, WOODSIDE, NY 11377-3577
(718) 672-7678
Mailing address
99 BEDFORD AVE, BERGENFIELD, NJ 07621-2044
(201) 374-1750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
102532
NY
104100000X
Social Worker
44SL06401700
NJ
1041C0700X
Clinical Social Worker
Primary
090787
NY
Other
Enumeration date
03/23/2018
Last updated
03/02/2021
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