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:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1154329472 | NPPES |
| New York | MEDICAID | 00600239 |
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