Individual
MR. CARLO SIMON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TSHH
Contact information
Practice address
587 WILSON BLVD, CENTRAL ISLIP, NY 11722-4335
(631) 415-4253
Mailing address
587 WILSON BLVD, CENTRAL ISLIP, NY 11722-4335
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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