Individual
ERIC BENJAMIN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2701 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4020
(212) 267-2670
Mailing address
5218 39TH AVE APT 1B, WOODSIDE, NY 11377-3386
(816) 590-6161
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101844
NY
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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