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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699761940 NPPES
New York MEDICAID 01610879

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