Jimenez, Antonella

Jimenez, Antonella is an individual health care provider with primary practice located at 22630 Manor Rd , Queens Village NY 11427-2103. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Jimenez, Antonella can be contacted via phone (347) 972-4867.

Contact Information

Primary practice address
22630 Manor Rd Queens Village NY 11427-2103
Phone: (347) 972-4867
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1043984958
LBN Legal business name Jimenez, Antonella
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2021
Last updated Aug 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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