Organization
FOOT HEALTH PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SORELIS JIMENEZ DPM (DPM)
(347) 564-6180
Entity
Organization
Contact information
Practice address
2256 2ND AVE, 3RD FLOOR, NEW YORK, NY 10029-2202
(212) 845-9991
(212) 864-2494
Mailing address
240 E 76TH ST, APT 8H, NEW YORK, NY 10021-2941
(212) 734-8666
(212) 734-8588
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006307
NY
Other
Enumeration date
11/20/2010
Last updated
04/13/2017
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