Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Simon Nissim, BA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124397021

Mr. Simon Nissim, BA is an Addiction (Substance Use Disorder) Counselor in Brooklyn, New York. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

255 Ave W
Brooklyn, NY 11223-5202
Phone: (866) 569-7233
Fax: (718) 336-6815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1124397021
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorYes
NPI enumeratedDecember 21, 2011
Last updated in NPPESDecember 21, 2011

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