Hall, Simon J

Hall, Simon J is an sole proprietor health care provider with primary practice located at 450 Lakeville Rd Suite M41, New Hyde Park NY 11042-1118. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hall, Simon J can be contacted via phone (516) 734-8577.

Contact Information

Primary practice address
450 Lakeville Rd Suite M41 New Hyde Park NY 11042-1118
Fax: (516) 734-7054
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 178943 New York

Profile Details

NPI number 1851394936
LBN Legal business name Hall, Simon J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Sep 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851394936 NPPES
New York MEDICAID 01710269

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