Simon, Richard Michael
Simon, Richard Michael is an individual health care provider with primary practice located at 48 Harrison Street , Johnson City NY 13790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Simon, Richard Michael can be contacted via phone (607) 729-5016.Contact Information
Primary practice address
48 Harrison Street
Johnson City NY 13790
Phone: (607) 729-5016
Fax: (607) 729-7574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 109487 | New York |
Profile Details
| NPI number | 1497702765 |
|---|---|
| LBN Legal business name | Simon, Richard Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Apr 14th, 2009 - about 16 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 | 1497702765 | NPPES |
| New York | MEDICAID | 00525700 |
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