# NORTHEAST PODIATRY CONSULTANT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700697414
- **Authorized official:** DR. DAVID SIMON DPM (OWNER)
- **Authorized official phone:** (347) 771-8637

## Contact information

- **Practice address:** 3103 AVENUE N, BROOKLYN, NY 11210-5412
- **Practice address phone:** (347) 771-8637
- **Practice address fax:** (347) 238-3601
- **Mailing address:** 608 PRESCOTT PL, VALLEY STREAM, NY 11581-3034
- **Mailing address phone:** (347) 771-8637
- **Mailing address fax:** (347) 238-3601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2025
- **Last updated:** 01/14/2025