Individual
ITZEL SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 ASTOR AVE LBBY 1A, BRONX, NY 10469-5900
(347) 571-2179
Mailing address
691 FDR DR APT 14C, NEW YORK, NY 10009-7113
(347) 598-0909
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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