Individual
DR. RANDY NEIL SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 E 56TH ST OFC 1, NEW YORK, NY 10022-4339
(212) 257-3393
Mailing address
26 TREEVIEW DR, MELVILLE, NY 11747-2411
(516) 457-4777
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
10/07/2024
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