# JENA SIMON NP IN PSYCHIATRY AND FAMILY HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487558904
- **Authorized official:** JENA SIMON DNP (OWNER)
- **Authorized official phone:** (917) 912-2946

## Contact information

- **Practice address:** 56 LINCOLN AVE, ARDSLEY, NY 10502-2416
- **Practice address phone:** (917) 268-1529
- **Practice address fax:** (917) 268-9665
- **Mailing address:** 56 LINCOLN AVE, ARDSLEY, NY 10502-2416
- **Mailing address phone:** (917) 268-1529
- **Mailing address fax:** (917) 268-9665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2026
- **Last updated:** 10/07/2026