Simone, Dorothea Anna

Simone, Dorothea Anna is an sole proprietor health care provider with primary practice located at 350 Applegate Rd N R-6, Ithaca NY 14850-9226. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Simone, Dorothea Anna can be contacted via phone (607) 273-0279.

Contact Information

Primary practice address
350 Applegate Rd N R-6 Ithaca NY 14850-9226
Phone: (607) 273-0279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 295084-1 New York

Profile Details

NPI number 1649476771
LBN Legal business name Simone, Dorothea Anna
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649476771 NPPES
New York MEDICAID 01923591

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