Individual
ELIZABETH SIMITIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
5 NEIL DR, LAKE GROVE, NY 11755-2608
(631) 707-0827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
01/15/2025
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