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
Phone: (516) 546-0102
Fax: (516) 546-2684
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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