Jimenez, Shanella
Jimenez, Shanella is an individual health care provider with primary practice located at 3391 Richmond Ave , Staten Island NY 10312-2025. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Jimenez, Shanella can be contacted via phone (718) 608-9170.Contact Information
Primary practice address
3391 Richmond Ave
Staten Island NY 10312-2025
Phone: (718) 608-9170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 027718 | New York |
Profile Details
| NPI number | 1346948197 |
|---|---|
| LBN Legal business name | Jimenez, Shanella |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2023 |
| Last updated | Feb 21st, 2023 - about 2 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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