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

Tashira Marie Jimenez

Individual provider Specialist · NPI 1306109202

Tashira Marie Jimenez is a Specialist in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

6750 164th St APT5E
Flushing, NY 11365-3176 Not confirmed with CMS for 14 years — call before visiting
Phone: (347) 267-2672
Fax: (347) 960-9203
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 891349 (NY)

Record details

NPI number1306109202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 17, 2012
Last updated in NPPESJune 17, 2012

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