Doctor Name: | JOSEPH SIMON |
NPI Number: | 1013136894 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 0184441 |
Business Practice Address: | 160 Lawrence Ave Brooklyn, NY - 112301103 |
Business Phone Number: | 7184367979 |
Business Fax Number: | 7184360071 |
Mailing Address: | 246 Withers St Apt 2b, BROOKLYN |
State: | NY |
Postal Code: | 112111570 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0184441 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |