Simon, Fern Debra

Simon, Fern Debra is an sole proprietor health care provider with primary practice located at 732 Glover Pl , Baldwin NY 11510-3505. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Simon, Fern Debra can be contacted via phone (516) 546-0102.

Contact Information

Primary practice address
732 Glover Pl Baldwin NY 11510-3505
Fax: (516) 546-2684
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R045230-1 New York

Profile Details

NPI number 1760511554
LBN Legal business name Simon, Fern Debra
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Nov 17th, 2015 - about 9 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 1760511554 NPPES
New York Other 290-902000 MAGELLAN
New York Other A349806 MAGELLAN
New York Other 7373255 MAGELLAN
New York Other 7481514 MAGELLAN
New York Other 225747586 MAGELLAN
New York Other P2063316 MAGELLAN
New York Other N7B721 MAGELLAN

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