Individual
ECEDDY SIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 W 161ST ST APT 8B, NEW YORK, NY 10032-5646
(212) 543-3392
Mailing address
600 W 161ST ST APT 8B, NEW YORK, NY 10032-5646
(212) 543-3392
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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