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NPI Code Detail

MEDICARE: ELIZABETH SIME NP

MEDICARE: ELIZABETH SIME NP
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
1363LF0000XFamily Nurse Practitioner358534NY

General Provider Information

NPI Number : 1568321750
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SIME NP
Provider Business Mailing Address
First Line : 1391 N WINDSOR AVE
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-4841
Country : US
Telephone Number : 631-968-3000
Fax Number :
Provider Business Practice Location Address
First Line : 301 E MAIN ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-8408
Country : US
Telephone Number : 631-968-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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