Provider Demographics
NPI:1306211685
Name:SIMON, EMMA (CNM)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:SIMON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:
Other - Last Name:REW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:462 1ST AVE STE 9E2
Mailing Address - Street 2:BELLEVUE HOSPITAL CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9196
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:462 1ST AVENUE, SUITE 9E2
Practice Address - Street 2:BELLEVUE HOSPITAL CENTER, OB/GYN, C/O GAIL JOSEPH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:973-204-3720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-11
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY638830163WP0200X
NY001717367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WP0200XNursing Service ProvidersRegistered NursePediatrics