Simon, Steven Ira

Simon, Steven Ira is an individual health care provider with primary practice located at 2270 Kimball St Suite 201, Brooklyn NY 11234-5139. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Simon, Steven Ira can be contacted via phone (718) 253-4550.

Contact Information

Primary practice address
2270 Kimball St Suite 201 Brooklyn NY 11234-5139
Phone: (718) 253-4550
Fax: (718) 253-6430
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 136343 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 136343-11 New York

Profile Details

NPI number 1154329472
LBN Legal business name Simon, Steven Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Feb 10th, 2021 - about 3 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 1154329472 NPPES
New York MEDICAID 00600239

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