Individual
SAMANTHA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2517 HORACE CT, BELLMORE, NY 11710-4808
(516) 305-9224
Mailing address
2517 HORACE CT, BELLMORE, NY 11710-4808
(516) 305-9224
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86176998
NY
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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