Simons, Mark E
Simons, Mark E is an sole proprietor health care provider with primary practice located at 279 E Fairmount Ave , Lakewood NY 14750-1900. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Simons, Mark E can be contacted via phone (716) 763-4759.Contact Information
Primary practice address
279 E Fairmount Ave
Lakewood NY 14750-1900
Phone: (716) 763-4759
Fax: (716) 762-4769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 035839 | New York |
Profile Details
| NPI number | 1073794707 |
|---|---|
| LBN Legal business name | Simons, Mark E |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2007 |
| Last updated | Nov 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073794707 | NPPES |
| New York | MEDICAID | 01204755 |
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