Individual
YADIRA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W 97TH ST, NEW YORK, NY 10025-6450
(212) 710-9029
Mailing address
110 W 97TH ST, NEW YORK, NY 10025-6450
(212) 710-9029
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
770785
NY
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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