Individual
ANTHONY SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 BAY SHORE RD, NORTH BABYLON, NY 11703-1711
(631) 586-6616
Mailing address
28 LEE AVE, BETHPAGE, NY 11714-3608
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044132-1
NY
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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