# DR. BRIAN SIMONOFSKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295716462
- **Gender:** Man
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X2153 | NY | Yes |

## Other

- **Enumeration date:** 11/07/2005
- **Last updated:** 06/13/2008

## 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 |