Individual
CATHIE ELLEN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1133 MONTAUK HWY, MASTIC, NY 11950-2918
(631) 467-4235
(631) 467-2655
Mailing address
68 DEER LN, MANORVILLE, NY 11949-2970
(631) 467-4235
(631) 467-2655
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015929-1
NY
Other
Enumeration date
01/20/2006
Last updated
11/06/2008
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