Provider Demographics
NPI:1972645760
Name:ANITA SIMONS OTR PLLC
Entity Type:Organization
Organization Name:ANITA SIMONS OTR PLLC
Other - Org Name:HAND THERAPY ORTHOPAEDIC REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, CHT
Authorized Official - Phone:212-371-2996
Mailing Address - Street 1:300 E 57TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2928
Mailing Address - Country:US
Mailing Address - Phone:212-371-2996
Mailing Address - Fax:212-980-1699
Practice Address - Street 1:300 E 57TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2928
Practice Address - Country:US
Practice Address - Phone:212-371-2996
Practice Address - Fax:212-980-1699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00204174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0253940001Medicare NSC