Provider Demographics
NPI:1720409386
Name:CEDENO, XIMENA
Entity Type:Individual
Prefix:
First Name:XIMENA
Middle Name:
Last Name:CEDENO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 RIDGE RD FL 1
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-3303
Mailing Address - Country:US
Mailing Address - Phone:914-373-0120
Mailing Address - Fax:
Practice Address - Street 1:14 RIDGE RD FL 1
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-3303
Practice Address - Country:US
Practice Address - Phone:914-373-0120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator