Provider Demographics
NPI:1518618362
Name:JUNIOUS, SIMONE (CERTIFIED DOULA)
Entity Type:Individual
Prefix:
First Name:SIMONE
Middle Name:
Last Name:JUNIOUS
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10957 195TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:NY
Mailing Address - Zip Code:11412-1621
Mailing Address - Country:US
Mailing Address - Phone:718-564-0799
Mailing Address - Fax:
Practice Address - Street 1:10957 195TH ST
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:NY
Practice Address - Zip Code:11412-1621
Practice Address - Country:US
Practice Address - Phone:718-564-0799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula