Jimenez, Domingo D
Jimenez, Domingo D is an individual health care provider with primary practice located at 33 Mitchell Ave Suite 102, Binghamton NY 13903-1674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jimenez, Domingo D can be contacted via phone (607) 762-3281.Contact Information
Primary practice address
33 Mitchell Ave Suite 102
Binghamton NY 13903-1674
Phone: (607) 762-3281
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1894241 | New York |
Profile Details
| NPI number | 1699761940 |
|---|---|
| LBN Legal business name | Jimenez, Domingo D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Feb 24th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699761940 | NPPES |
| New York | MEDICAID | 01610879 |
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