Edwin Jimenez, MD
Surgery in Clifton Springs, NY. Individual provider (NPI-1).
NPI number1164085932
StatusActive
Last updated in NPPESAug 19, 2026
Details
- NPI
- 1164085932
- Entity type
- Individual (NPI-1)
- Name
- Edwin Jimenez
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2019
- Certification date
- Aug 19, 2026
- Last updated
- Aug 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 326173 | NY | Yes |
Practice location
2 Coulter Rd Ste 1680Clifton Springs, NY 14432-1122
Phone 315-462-2636 · Fax 315-359-2675
Mailing address
100 Kings Hwy SRochester, NY 14617-5504
Fax 585-922-1011
Other practice locations
450 Clarkson Ave
Brooklyn, NY 11203-2012
Brooklyn, NY 11203-2012
Phone 718-270-3302
1304 Driving Park Ave
Newark, NY 14513-1059
Newark, NY 14513-1059
Phone 315-359-2670 · Fax 315-359-2675
833 Canandaigua Rd
Geneva, NY 14456-2015
Geneva, NY 14456-2015
Phone 315-359-2670 · Fax 315-359-2675
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Surgery Physician providers in Clifton Springs, NY
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.