Simon-Goldman, Phyllis G
Simon-Goldman, Phyllis G is an sole proprietor health care provider with primary practice located at 270 Union Ave , Holbrook NY 11741. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Simon-Goldman, Phyllis G can be contacted via phone (631) 331-6200.Contact Information
Primary practice address
270 Union Ave
Holbrook NY 11741
Phone: (631) 331-6200
Fax: (631) 331-6282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 240746-1 | New York |
Profile Details
| NPI number | 1245431477 |
|---|---|
| LBN Legal business name | Simon-Goldman, Phyllis G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2007 |
| Last updated | Apr 12th, 2012 - about 12 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 | 1245431477 | NPPES |
| New York | MEDICAID | 03080866 |
Popular Providers
-
Rivera Morillo, Pedro D
Avenida Munoz Marin A-8 , Caguas PR 00725 -
Crowder, Wayne L
1475 Taney Ave Ste 201, Frederick MD 21702-5126 -
Korn, Tom S.
105 Medical Plz , Sulphur Springs TX 75482-2136 -
Earnest, Robert Rhea
460 Country Club Rd , Lumberton NC 28360-9494 -
Nussbaum, Michael
270 Union Ave , Holbrook NY 11741-1823 -
Howard, Monique Maria
311 W. Fairchild Street , Danville IL 61832-3803 -
Ahmadi, Cyrus
53 Passaic Ave , Passaic NJ 07055-4801 -
Festa, Robert S
270 Union Ave , Holbrook NY 11741-1823