MEDICARE: MRS. BARBARA R SIMONE NURSE PRACTITIONER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	330506-1	NY

General Provider Information

NPI Number	:	1376646497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA R SIMONE NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	27 BRADLEY DR
Second Line	:
City	:	HOPEWELL JCT
State	:	NY
Zip	:	12533-5817
Country	:	US
Telephone Number	:	845-227-7017
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 BRADLEY DR
Second Line	:
City	:	HOPEWELL JCT
State	:	NY
Zip	:	12533-5817
Country	:	US
Telephone Number	:	845-227-7017
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	07/08/2007

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