Simon, Lloyd

Simon, Lloyd is an individual health care provider with primary practice located at 44210 County Road 48 , Southold NY 11971-5032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Simon, Lloyd can be contacted via phone (631) 765-4150.

Contact Information

Primary practice address
44210 County Road 48 Southold NY 11971-5032
Phone: (631) 765-4150
Fax: (631) 765-4688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 153210 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 153210-1 New York

Profile Details

NPI number 1811921463
LBN Legal business name Simon, Lloyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Apr 6th, 2016 - about 8 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 1811921463 NPPES
New York MEDICAID 00757786

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