Healthcare Provider Details

I. General information

NPI: 1265353643
Provider Name (Legal Business Name): ANA ISABEL MARTINEZ JIMENEZ LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANAIS MARTINEZ JIMENEZ LP

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 E 4TH ST APT 27
NEW YORK NY
10009-7455
US

IV. Provider business mailing address

234 E 4TH ST APT 27
NEW YORK NY
10009-7455
US

V. Phone/Fax

Practice location:
  • Phone: 646-643-9075
  • Fax:
Mailing address:
  • Phone: 646-643-9075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number001295
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: