Individual
MR. SIMON MARDAKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 6TH ST, NY METHODIST HOSPITAL, BROOKLYN, NY 11215
(718) 780-3279
(845) 790-2613
Mailing address
PO BOX 550, 2 CATHERINE ST PARK SLOPE ANESTHESIA ASSOCIATES, PC, POUGHKEEPSIE, NY 12602
(845) 790-2614
(845) 790-2613
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
269292
NY
207L00000X
Anesthesiology Physician
Primary
269292-1
NY
Other
Enumeration date
02/02/2011
Last updated
01/06/2015
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