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Provider Information for 1801658539


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SIMONA OSTROW LMHC


Sex: Female

NPI: 1801658539
Last Updated: 2024-01-29
Certification Date: 2024-01-29

Details

NameValue
NPI1801658539
Enumeration Date2024-01-29
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 2047 BERFOND CT
MERRICK, NY 11566-4717
United States

Phone: 516-655-4280 | Fax:
 
Primary Practice Address 2047 BERFOND CT
MERRICK, NY 11566-4717
United States

Phone: 516-655-4280 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthNY002190