Simon, Marie Vanessa

Simon, Marie Vanessa is an individual health care provider with primary practice located at 10005 92Nd Ave , Richmond Hill NY 11418-2909. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Simon, Marie Vanessa can be contacted via phone (646) 837-2661.

Contact Information

Primary practice address
10005 92Nd Ave Richmond Hill NY 11418-2909
Phone: (646) 837-2661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 329916-01 New York

Profile Details

NPI number 1053986331
LBN Legal business name Simon, Marie Vanessa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2021
Last updated May 20th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053986331 NPPES
New York MEDICAID 704777104

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