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Individual

MS. KATHY A SIMONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1250 BROADWAY, NEW YORK, NY 10001-3701
(215) 316-9885
Mailing address
852 EVERGREEN DR, WEST HEMPSTEAD, NY 11552-3408
(215) 316-9885
(516) 564-9484

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
005980
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
F340740-1
NY

Other

Enumeration date
01/29/2007
Last updated
01/06/2010
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