Individual
DR. MITCHELL STEVEN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
45 MAIN ST APT 605, YONKERS, NY 10701-2964
(816) 810-9722
Mailing address
45 MAIN ST APT 605, YONKERS, NY 10701-2964
(816) 810-9722
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013165
NY
111N00000X
Chiropractor
33091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34764017
BCBS
MO
Enumeration date
01/09/2007
Last updated
07/01/2020
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