Individual
BRETT SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2650
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
274384
NY
207L00000X
Anesthesiology Physician
73745
MA
207L00000X
Anesthesiology Physician
D43681
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202001700
—
MD
Enumeration date
07/06/2006
Last updated
12/02/2014
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