Tsiouris, Simon John

Tsiouris, Simon John is an individual health care provider with primary practice located at 947 Linwood Ave Suite 2E, Ridgewood NJ 07450-2939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Tsiouris, Simon John can be contacted via phone (201) 447-6468.

Contact Information

Primary practice address
947 Linwood Ave Suite 2E Ridgewood NJ 07450-2939
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 216282 New York
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 25MA09223900 New Jersey

Profile Details

NPI number 1114085040
LBN Legal business name Tsiouris, Simon John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Feb 5th, 2013 - about 13 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 1114085040 NPPES
New York MEDICAID 02587819

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