Individual
MS. TINA SIMEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 ALDER LN, SHIRLEY, NY 11967-2628
(631) 772-5096
Mailing address
12 ALDER LN, SHIRLEY, NY 11967-2628
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
12/02/2013
Last updated
07/21/2022
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