Organization
NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC
Active
Organization
NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN A SIMON MD (MBR)
(845) 262-5313
Entity
Organization
Contact information
Practice address
507 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5238
(845) 262-5313
(845) 262-5330
Mailing address
507 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5238
(845) 262-5313
(845) 262-5330
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
02/05/2014
Last updated
12/16/2016
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