# NUVO LIFE CENTER

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

## Provider details

- **NPI number:** 1821315102
- **Authorized official:** MRS. SYLVIA SIMEONE PMHNP, MS,CS-BC (PARTNER)
- **Authorized official phone:** (631) 360-2223

## Contact information

- **Practice address:** 22 LAWRENCE AVE, SMITHTOWN, NY 11787-3619
- **Practice address phone:** (631) 360-2223
- **Practice address fax:** (631) 360-2288
- **Mailing address:** 22 LAWRENCE AVE, SMITHTOWN, NY 11787-3619
- **Mailing address phone:** (631) 360-2223
- **Mailing address fax:** (631) 360-2288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | R041337-1 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F400563-1 | NY | Yes |

## Other

- **Enumeration date:** 04/27/2010
- **Last updated:** 04/27/2010
