Chana Miriam Simon LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

2129566 Issued in NY

Legal business name

CHANA MIRIAM SIMON LLC

Practice address

127 Rock Hill Rd
Spring Valley, NY 10977-5357

Phone

(845) 517-9221

Fax

(845) 356-5798

NPI assigned

Feb 13, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Miriam Simon, MS ED

Title

Director

Phone

(845) 517-9221

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1558752477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ROCK HILL RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775357",
            "telephone_number": "845-517-9221",
            "fax_number": "845-356-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ROCK HILL RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775357",
            "telephone_number": "845-517-9221",
            "fax_number": "845-356-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANA MIRIAM SIMON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-517-9221",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS ED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "2129566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ceus
• Abraham Chacko Jr., M.D.
• Preya Suzanne Chacko, DPT
• Shanee Chambers
• Yin-Wah Wendy Chan, L. AC
• Edward H Chang, RPH
• Beverlyn Loretta Chapple, N.P.
• Syndie N Charlemagne, LPN
• Pascale Charles
• Alain Charlot, LPN

• Early Intervention Provider Agency in Spring Valley, NY
• Providers in Spring Valley, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.