Individual
RENEE A SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 GILBERT ST, SOUTH SALEM, NY 10590-1341
(914) 763-9107
Mailing address
15 GILBERT ST, SOUTH SALEM, NY 10590-1341
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
005272
NY
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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