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Organization

NUVO LIFE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SYLVIA SIMEONE PMHNP, MS,CS-BC (PARTNER)
(631) 360-2223
Entity
Organization

Contact information

Practice address
22 LAWRENCE AVE, SMITHTOWN, NY 11787-3619
(631) 360-2223
(631) 360-2288
Mailing address
22 LAWRENCE AVE, SMITHTOWN, NY 11787-3619
(631) 360-2223
(631) 360-2288

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
R041337-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400563-1
NY

Other

Enumeration date
04/27/2010
Last updated
04/27/2010
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