Individual
COLEEN MARIE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 DEER PARK AVE, DEER PARK, NY 11729-5208
(631) 667-0388
Mailing address
1600 DEER PARK AVE, DEER PARK, NY 11729-5208
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307388-1
NY
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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