Individual
STEPHEN SIMEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2011 DEER PARK AVE, DEER PARK, NY 11729-2733
(646) 822-3322
Mailing address
19905 112TH AVE, SAINT ALBANS, NY 11412-2107
(929) 231-0350
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006202-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006202-1
NEW YORK STATE OFFICE OF PROFESSIONAL
NY
Enumeration date
08/01/2020
Last updated
08/01/2020
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