Simon, George Michael

Simon, George Michael is an sole proprietor health care provider with primary practice located at 144 Lake Ave , Deer Park NY 11729-4219. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Simon, George Michael can be contacted via phone (631) 786-5542.

Contact Information

Primary practice address
144 Lake Ave Deer Park NY 11729-4219
Phone: (631) 786-5542
Fax: (631) 667-1708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000176 New York

Profile Details

NPI number 1912062415
LBN Legal business name Simon, George Michael
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Jul 8th, 2007 - about 18 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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