Individual
BRYAN OMAR JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 CHURCH ST STE 415, WHITE PLAINS, NY 10601-1905
(646) 389-5801
Mailing address
7 HILLSIDE CLOSE, WHITE PLAINS, NY 10603-2810
(347) 449-1971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128521-01
NY
Other
Enumeration date
11/14/2025
Last updated
11/18/2025
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