Individual
MINEVE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSING
Contact information
Practice address
100 EAST 77TH STREET, NEW YORK, NY 10075
(212) 434-2640
Mailing address
100 EAST 77TH STREET NY. NY, NEW YORK, NY 10075
(212) 434-2640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
650798
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F3893095
NY
Other
Enumeration date
03/31/2014
Last updated
07/28/2020
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