Individual
JENNIFER SIMCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4166 STATE ROUTE 28, BOICEVILLE, NY 12412-5203
(845) 657-3320
Mailing address
PO BOX 300, BOICEVILLE, NY 12412-0300
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
12/07/2022
Last updated
12/12/2022
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