Organization
MIRIAM SIMON, INC.
Active
Organization
MIRIAM SIMON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MIRIAM BRYNA SIMON LCSW (THERAPIST)
(917) 687-1931
Entity
Organization
Contact information
Practice address
878 LONGACRE AVE, VALLEY STREAM, NY 11581-3510
(917) 687-1931
Mailing address
878 LONGACRE AVE, VALLEY STREAM, NY 11581-3510
(917) 687-1931
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
076796-1
NY
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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