Simon, Mitchell Jack
Simon, Mitchell Jack is an individual health care provider with primary practice located at 960 Atlantic Ave , Baldwin Harbor NY 11510-4241. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Simon, Mitchell Jack can be contacted via phone (516) 377-1818.Contact Information
Primary practice address
960 Atlantic Ave
Baldwin Harbor NY 11510-4241
Phone: (516) 377-1818
Fax: (515) 377-1831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 034526 | New York |
Profile Details
| NPI number | 1821026600 |
|---|---|
| LBN Legal business name | Simon, Mitchell Jack |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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