Individual
COLLEEN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
217 S WAVERLY ST, YONKERS, NY 10701-0800
(914) 652-4019
Mailing address
PO BOX 310, YONKERS, NY 10702-0310
(914) 652-4019
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305834-1
NY
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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