Simon, Coleen Marie

Simon, Coleen Marie is an individual health care provider with primary practice located at 1600 Deer Park Ave , Deer Park NY 11729-5208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Simon, Coleen Marie can be contacted via phone (631) 667-0388.

Contact Information

Primary practice address
1600 Deer Park Ave Deer Park NY 11729-5208
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F307388-1 New York

Profile Details

NPI number 1730542721
LBN Legal business name Simon, Coleen Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2016
Last updated Mar 29th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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