Simon, Geoffrey
Simon, Geoffrey is an sole proprietor health care provider with primary practice located at 1656 Champlin Ave Suite 203, Utica NY 13502-4830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Simon, Geoffrey can be contacted via phone (315) 738-0647.Contact Information
Primary practice address
1656 Champlin Ave Suite 203
Utica NY 13502-4830
Phone: (315) 738-0647
Fax: (315) 738-9719
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 105165 | New York |
Profile Details
NPI number | 1184621401 |
---|---|
LBN Legal business name | Simon, Geoffrey |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 1st, 2005 |
Last updated | Dec 5th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184621401 | NPPES |
New York | Other | 025299 | MVP |
New York | Other | 5328149 | MVP |
New York | Other | 10032749 | MVP |
New York | MEDICAID | 00590047 | MVP |
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