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Organization
VALERIE SIMON D/B/A THE INNER STAGE
Active
Organization
VALERIE SIMON D/B/A THE INNER STAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE SIMON (OWNER)
(917) 572-8114
Entity
Organization
Contact information
Practice address
57 W 57TH ST STE 704, NEW YORK, NY 10019-2802
(917) 572-8114
Mailing address
57 W 57TH ST STE 704, NEW YORK, NY 10019-2802
(917) 572-8114
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
056118
NY
Other
Enumeration date
10/11/2017
Last updated
11/07/2019
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