Individual
MARIA I DESIMPLICIIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8214 LANGDALE ST FL 1, NEW HYDE PARK, NY 11040-1821
(718) 347-0202
Mailing address
8214 LANGDALE ST FL 1, NEW HYDE PARK, NY 11040-1821
(718) 347-0202
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
053766
NY
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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