Provider Demographics
NPI:1851453880
Name:SIMEONE, SYLVIA (DNP,PMHNP-BC, CNS-BC)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:
Last Name:SIMEONE
Suffix:
Gender:F
Credentials:DNP,PMHNP-BC, CNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 VETERANS HWY STE 105
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2932
Mailing Address - Country:US
Mailing Address - Phone:631-697-0900
Mailing Address - Fax:
Practice Address - Street 1:800 VETERANS HWY STE 105
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2932
Practice Address - Country:US
Practice Address - Phone:631-697-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400563-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02519813Medicaid
NY95N201Medicare ID - Type Unspecified
NYP06871Medicare UPIN