Individual
MS. PATRICE MARIE SIMMS-ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
52 PARK AVE E, MERRICK, NY 11566-3266
(516) 652-0002
Mailing address
52 PARK AVE E, MERRICK, NY 11566-3266
(516) 652-0002
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NY
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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