Individual
DR. STEVEN IRA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2270 KIMBALL ST, SUITE 201, BROOKLYN, NY 11234-5139
(718) 253-4550
(718) 253-6430
Mailing address
2270 KIMBALL ST, SUITE 201, BROOKLYN, NY 11234-5139
(718) 253-4550
(718) 253-6430
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
136343-11
NY
207NS0135X
Procedural Dermatology Physician
136343
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00600239
—
NY
Enumeration date
07/11/2005
Last updated
02/10/2021
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