Henry Jimenez is a Specialist in Brentwood, New York. Henry Jimenez practices all healthcare services and medical treatments related to Specialist. The NPI Number for Henry Jimenez is 1114119963. The last update date is 2007-08-15.
Henry Jimenez's current location address is 190 Elliot St, Brentwood, New York. You can contact this provider via phone number 6319522395. The mailing address for Henry Jimenez is 190 Elliot St, Brentwood, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Henry Jimenez |
|---|---|
| Address | 190 Elliot St, Brentwood, New York |
| Phone Number | 6319522395 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114119963 |
|---|---|
| Provider Enumeration Date | 2007-08-15 |
| Last Updated Date | 2007-08-15 |
Provider Mailing Address Detail
| Address | 190 Elliot St |
|---|---|
| City | Brentwood |
| State | New York (NY) |
| Post Code | 117175802 |
| Phone Number | 6319522395 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 7546 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7546 | NY | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Henry Jimenez by the Centers for Medicare & Medicaid Services?
The Henry Jimenez has been assigned the NPI (National Provider Identifier) 1114119963 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Henry Jimenez is physically located?
The Henry Jimenez is situated at the following address: 190 Elliot St, Brentwood, NY 117175802.
What is Henry Jimenez's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Henry Jimenez is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When did Henry Jimenez receive its 1114119963 assignment?
The Henry Jimenez was assigned its 1114119963 on 2007-08-15, which is the date when this unique identifier was issued to the organization.
When was the information related to Henry Jimenez most recently updated or refreshed?
The details pertaining to the Henry Jimenez, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-15.