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Individual

DR. JESSIE SIMANTOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
640 BARNARD AVE, WOODMERE, NY 11598-2729
(516) 374-9444
(212) 730-8861
Mailing address
640 BARNARD AVE, WOODMERE, NY 11598-2729
(516) 374-9444
(212) 730-8861

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
229405
NY

Other

Enumeration date
07/03/2006
Last updated
07/08/2007
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