Simon, John Mathew
Simon, John Mathew is an individual health care provider with primary practice located at 580 Union Blvd , West Islip NY 11795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Simon, John Mathew can be contacted via phone (631) 321-6801.Contact Information
Primary practice address
580 Union Blvd
West Islip NY 11795
Phone: (631) 321-6801
Fax: (631) 321-3869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 1662481 | New York |
Profile Details
| NPI number | 1881628683 |
|---|---|
| LBN Legal business name | Simon, John Mathew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1881628683 | NPPES |
| New York | MEDICAID | 01064671 |
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