My Simon Dentistry Pllc | |
960 Atlantic Ave Baldwin NY 11510-4265 | |
(516) 377-1818 | |
Not Available |
Full Name | My Simon Dentistry Pllc |
---|---|
Speciality | Dentist |
Location | 960 Atlantic Ave, Baldwin, New York |
Authorized Official Name and Position | Matthew Simon (OWNER) |
Authorized Official Contact | 5163771818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
My Simon Dentistry Pllc 960 Atlantic Ave Baldwin NY 11510-4265 Ph: () - | My Simon Dentistry Pllc 960 Atlantic Ave Baldwin NY 11510-4265 Ph: (516) 377-1818 |
NPI Number | 1568824514 |
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Provider Enumeration Date | 03/28/2016 |
Last Update Date | 03/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568824514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 055552 (New York) | Primary |
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