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Individual
NANCY G SIMON
Active
Individual
NANCY G SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0028431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310361
—
NY
01
—
00404586001
BS OF NENY
NY
01
—
10076671
CDPHP
NY
Enumeration date
09/15/2006
Last updated
07/09/2007
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