Individual
DOMINGO D JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 MITCHELL AVE, SUITE 102, BINGHAMTON, NY 13903-1674
(607) 762-3281
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2558
(607) 770-0025
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1894241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01610879
—
NY
Enumeration date
09/22/2005
Last updated
02/24/2009
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