Provider Demographics
NPI:1417364464
Name:SIMON, CAROL
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:
Last Name:SIMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 W. 127 ST. N.Y.N.Y.
Mailing Address - Street 2:HUMAN RESOURCES DEPT.
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027
Mailing Address - Country:US
Mailing Address - Phone:212-752-7575
Mailing Address - Fax:212-752-7564
Practice Address - Street 1:159. W. 127 ST N.Y.NY
Practice Address - Street 2:HUMAN RESOURCES DEPT.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027
Practice Address - Country:US
Practice Address - Phone:212-752-7575
Practice Address - Fax:212-752-7564
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist