Individual
DR. RANDY NEIL SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
800A 5TH AVE, NEW YORK, NY 10065-7215
(212) 470-1962
Mailing address
800A 5TH AVE, NEW YORK, NY 10065-7215
(212) 470-1962
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
061839
NY
1223E0200X
Endodontics
22DI02799400
NJ
1223E0200X
Endodontics
DN24329
FL
Other
Enumeration date
06/28/2021
Last updated
05/21/2026
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