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Individual

DR. BRIAN SIMONOFSKY

Active
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Individual

DR. BRIAN SIMONOFSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X2153
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0579021
ONVOY
NY
01
—
128725
ACN
NY
01
—
39886617
TRIAD
NY
01
—
937501
MVP
NY
01
—
BCBS
X14881
NY
01
—
CO21537
WORKERS COMPENSATION
NY
01
—
P761893
OXFORD
NY
Enumeration date
11/07/2005
Last updated
06/13/2008
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