Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maryanne Jimenez

Individual provider Specialist · NPI 1174869945

Maryanne Jimenez is a Specialist in Manorville, New York. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

132 Head Of The Neck Rd
Manorville, NY 11949-9520
Phone: (631) 909-1139
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1174869945
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 21, 2012
Last updated in NPPESDecember 21, 2012

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