Individual provider · Type 1 NPI

Anisa Simoni

Specialist · Fresh Meadows, NY

NPI number 1508776873 Active

Practice location

16216 Union Tpke Ste 303
Fresh Meadows, NY 11366-1960

Call (718) 264-7250 Map

Fax (718) 264-7922

Mailing address

1063 Ward Ave
Bronx, NY 10472-5955

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1508776873

Anisa Simoni's National Provider Identifier is 1508776873, issued on Sep 9, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Sep 9, 2026.