Individual
BEENA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 TILDEN AVE, BROOKLYN, NY 11226-5015
(718) 941-4490
(718) 703-1716
Mailing address
2505 TILDEN AVE, BROOKLYN, NY 11226-5015
(718) 941-4490
(718) 703-1716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
656859-1
NY
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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