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Individual

DR. RONALD J SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
(718) 918-4469
Mailing address
140 W 79TH ST, NEW YORK, NY 10024-6421

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
155393
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01172870
NY
Enumeration date
12/14/2006
Last updated
07/08/2007
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