Simon, Elisabeth

Simon, Elisabeth is an individual health care provider with primary practice located at 47 New Scotland Ave , Albany NY 12208-3412. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Simon, Elisabeth can be contacted via phone (518) 262-9440.

Contact Information

Primary practice address
47 New Scotland Ave Albany NY 12208-3412
Phone: (518) 262-9440
Fax: (518) 262-9443
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 193691 New York

Profile Details

NPI number 1952397192
LBN Legal business name Simon, Elisabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Dec 5th, 2011 - about 14 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 1952397192 NPPES
New York MEDICAID 00146478

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