Individual
DR. JEFFREY M SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
667 STONELEIGH AVE, CARMEL, NY 10512-2454
(845) 279-5908
Mailing address
667 STONELEIGH AVE, CARMEL, NY 10512-2454
(845) 279-5908
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006767-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00683587
—
NY
Enumeration date
07/26/2006
Last updated
07/08/2007
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