Organization
JIMENEZ FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY JIMENEZ DDS (DENTIST)
(212) 567-2431
Entity
Organization
Contact information
Practice address
664 ACADEMY ST, NEW YORK, NY 10034-4229
(212) 567-2431
(212) 567-5626
Mailing address
664 ACADEMY ST, NEW YORK, NY 10034-4229
(212) 567-2431
(212) 567-5626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02677374
—
NY
Enumeration date
04/24/2009
Last updated
04/24/2009
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