Individual
LAUREN ELIZABETH SIMONIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 JERICHO TPKE, SYOSSET, NY 11791-4532
(516) 464-3006
Mailing address
175 JERICHO TPKE, SYOSSET, NY 11791-4532
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
745146
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405955-01
NY
Other
Enumeration date
11/03/2022
Last updated
09/05/2024
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