| Doctor Name: | DR. JOSE RODRIQUEZ SIMPAO |
| NPI Number: | 1154548410 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., |
| License Number: | 162398 |
| Business Practice Address: | 765 Grand St Brooklyn, NY - 112115797 |
| Business Phone Number: | 7183887283 |
| Business Fax Number: | 7189633410 |
| Mailing Address: | 765 Grand St, BROOKLYN |
| State: | NY |
| Postal Code: | 112115797 |
| Phone Number: | 7183887283 |
| Fax Number: | 7189633410 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 05/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 162398 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |