Organization
CRESTVIEW QUALITY MEDICAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID B SIMONS (OWNER)
(845) 425-8300
Entity
Organization
Contact information
Practice address
2 CRESTVIEW TER, MONSEY, NY 10952-1901
(845) 425-8300
Mailing address
2 CRESTVIEW TER, MONSEY, NY 10952-1901
(845) 425-8300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00437316
—
NY
Enumeration date
08/28/2008
Last updated
08/28/2008
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