Individual
JEANNINE RUTH SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6223
(516) 569-6600
Mailing address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11881901
NY
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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