Individual
PERCY J. JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 BEEKMAN ST, STATEN ISLAND, NY 10302-2006
(347) 319-3009
Mailing address
23 BEEKMAN ST, STATEN ISLAND, NY 10302-2006
(347) 319-3009
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
TTC-III-07-03-6989
PR
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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