Simon, Geoffrey

Simon, Geoffrey is an sole proprietor health care provider with primary practice located at 1656 Champlin Ave Suite 203, Utica NY 13502-4830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Simon, Geoffrey can be contacted via phone (315) 738-0647.

Contact Information

Primary practice address
1656 Champlin Ave Suite 203 Utica NY 13502-4830
Phone: (315) 738-0647
Fax: (315) 738-9719
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 105165 New York

Profile Details

NPI number 1184621401
LBN Legal business name Simon, Geoffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated Dec 5th, 2011 - about 14 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 1184621401 NPPES
New York Other 025299 MVP
New York Other 5328149 MVP
New York Other 10032749 MVP
New York MEDICAID 00590047 MVP

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