Individual provider · Type 1 NPI

Simone Black

Licensed Practical Nurse · Bronx, NY

NPI number 1376411710 Active

Practice location

3220 Wickham Ave
Bronx, NY 10469-3123

Call (914) 318-8376 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X349440 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1376411710

Simone Black's National Provider Identifier is 1376411710, issued on Oct 27, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Oct 27, 2025.