Simon, Phyllis

Simon, Phyllis is an individual health care provider with primary practice located at 180 E Pulaski Rd , Huntington Station NY 11746-1915. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Simon, Phyllis can be contacted via phone (631) 425-2121.

Contact Information

Primary practice address
180 E Pulaski Rd Huntington Station NY 11746-1915
Phone: (631) 425-2121
Fax: (631) 425-2193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 144918-1 New York

Profile Details

NPI number 1437156494
LBN Legal business name Simon, Phyllis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1437156494 NPPES
New York MEDICAID 00718396

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