PERCY J. JIMENEZ


Address: 23 Beekman St, Staten Island, NY 10302-2006
Phone: 3473193009

PERCY J. JIMENEZ (NPI# 1396399515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396399515
Entity Type Individual
Full Name PERCY J. JIMENEZ
Practice Address 23 Beekman St
Staten Island
NY 10302-2006
Practice Telephone 3473193009
Mailing Telephone 3473193009
Enumeration Date 2019-07-25
Last Update Date 2019-07-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
TTC-III-07-03-69 PR Behavioral Health & Social Service Providers

Office Location

Street Address 23 BEEKMAN ST
City STATEN ISLAND
State NY
Zip Code 10302-2006

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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

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1447745062 Richard M. Lawless Counselor 860 Montauk Highway, Building 1, Water Mill, NY 11976 2018-06-26
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Competitor

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City STATEN ISLAND
Zip Code 10302

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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