SIMON NISSIM

BROOKLYN, NY
NPI1124397021
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-12-21
Last Update Date2011-12-21
Business Address
Mr. SIMON NISSIM ba
255 AVENUE W
BROOKLYN, NY 11223-5202
Phone number: 866-569-7233
Mailing Address
Mr. SIMON NISSIM ba
255 AVENUE W
BROOKLYN, NY 11223-5202
Phone number: 866-569-7233
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