Provider Information for 1780998591
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Miss MELINDA JIMENEZ LCSW
Sex: Female
NPI: 1780998591
Last Updated: 2010-08-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1780998591 | ||||||||
| Enumeration Date | 2010-08-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2253 3RD AVE 3RD FLOOR NEW YORK, NY 10035-2206 United States Phone: 212-289-6650 | Fax:212-360-6149 | ||||||||
| Primary Practice Address | 2253 3RD AVE 3RD FLOOR NEW YORK, NY 10035-2206 United States Phone: 212-289-6650 | Fax:212-360-6149 | ||||||||
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