MR. CARLO SIMON SR.


Address: 587 Wilson Blvd, Central Islip, NY 11722-4335
Phone: 6314154253

MR. CARLO SIMON SR. (NPI# 1538410436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538410436
Entity Type Individual
Full Name MR. CARLO SIMON SR.
Credential TSHH
Practice Address 587 Wilson Blvd
Central Islip
NY 11722-4335
Practice Telephone 6314154253
Enumeration Date 2012-10-02
Last Update Date 2012-10-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
Speech, Language and Hearing Service Providers

Office Location

Street Address 587 WILSON BLVD
City CENTRAL ISLIP
State NY
Zip Code 11722-4335

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NPI Name Taxonomy Address Enumeration
1518526185 Pamela Bettes Specialist/Technologist 1650 Islip Avenue, Central Islip, NY 11722 2019-06-07
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1841625613 Valerie Chamberlain Social Worker 1832 Finch Ln, Central Islip, NY 11722 2013-09-11
1427307529 Nicole Loibl Pharmacist 160 North Research Place, Central Islip, NY 11722 2012-09-05
1396053203 Stephanie L Urban Counselor 115 Glenmore Avenue, Central Islip, NY 11722 2010-09-14
1487982914 Christine Rosemarie Campbell Counselor 1499 Islip Ave, Central Islip, NY 11722 2009-11-20
1144454315 Farah Kennedy Licensed Practical Nurse 67 Woodland Ave, Central Islip, NY 11722 2009-05-04
1366618563 Lucretia Cory Banks Licensed Practical Nurse 14 Walnut Street, Central Islip, NY 11722 2008-05-07
1134391097 Donna Maria Ortiz Orulepe Licensed Vocational Nurse 70 Pinewood Ave, Central Islip, NY 11722 2008-03-31
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

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1215543780 Leah Mckenzie Pike Specialist/Technologist 42 Dana Ave, Wynantskill, NY 12198-7975 2020-09-21
1811515703 Ilana Herman Specialist/Technologist 3750 Hudson Manor Ter Apt 2fe, Bronx, NY 10463-1130 2020-07-08
1306497722 Laurie Joan Shuster Specialist/Technologist 3007 Whaleneck Dr, Merrick, NY 11566-5324 2019-09-26
1841799194 Deanne Seeley Specialist/Technologist 426 Stage Rd, Buskirk, NY 12028-2602 2018-02-01
1992225908 Coralace Campbell Specialist/Technologist 1216 Dean St, Brooklyn, NY 11216-3101 2017-06-21
1689104036 Beth A Sanders Specialist/Technologist 4535 Southwestern Blvd Ste 203, Hamburg, NY 14075-1861 2017-06-19
1699211797 Felecia Hanesworth Specialist/Technologist 2685 Whitehaven Rd, Grand Island, NY 14072-1540 2017-01-12
1831641588 Raysa Polanco Specialist/Technologist 508 W 139th St Apt 1, New York, NY 10031-7747 2016-10-28
1336690999 Lorelle Ricco Specialist/Technologist 182 Suffolk Ave, Staten Island, NY 10314-6946 2016-10-19
1518416056 Susan Hammer Specialist/Technologist 2973 Brentwood Ct, Wantagh, NY 11793-4522 2016-09-26
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Competitor

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City CENTRAL ISLIP
Zip Code 11722

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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