# CHANA MIRIAM SIMON LLC

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

## Provider details

- **NPI number:** 1558752477
- **Authorized official:** MRS. MIRIAM SIMON MS ED (DIRECTOR)
- **Authorized official phone:** (845) 517-9221

## Contact information

- **Practice address:** 127 ROCK HILL RD, SPRING VALLEY, NY 10977-5357
- **Practice address phone:** (845) 517-9221
- **Practice address fax:** (845) 356-5798
- **Mailing address:** 127 ROCK HILL RD, SPRING VALLEY, NY 10977-5357
- **Mailing address phone:** (845) 517-9221
- **Mailing address fax:** (845) 356-5798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 2129566 | NY | Yes |

## Other

- **Enumeration date:** 02/13/2015
- **Last updated:** 02/13/2015