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Individual

ELPIDIO JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1ST AVE & E 16TH STREET, NEW YORK, NY 10003
(212) 420-2124
(212) 844-1945
Mailing address
1900 HEMPSTEAD TPKE, SUITE 500, EAST MEADOW, NY 11554-1724
(516) 542-1090
(516) 794-8165

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
181405
NY

Other

Enumeration date
07/20/2005
Last updated
12/03/2007
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