Individual
DR. LIBIA REBECA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
600 W 146TH ST, GROUND FLOOR, NEW YORK, NY 10031-4301
(212) 368-9532
(212) 368-2245
Mailing address
600 W 146TH ST, GROUND FLOOR, NEW YORK, NY 10031-4301
(212) 368-9532
(212) 368-2245
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
045307-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01477283
—
NY
Enumeration date
11/16/2006
Last updated
07/08/2007
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