Individual
JAMIE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
731 PRE EMPTION RD, GENEVA, NY 14456-1335
(315) 789-6828
(315) 789-7750
Mailing address
731 PRE EMPTION RD, GENEVA, NY 14456-1335
(315) 789-6828
(315) 789-7750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01998883
—
NY
Enumeration date
01/08/2016
Last updated
01/08/2016
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