Individual
DR. BARRY GLEN SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 NORTHERN BLVD, SUITE 201, GREAT NECK, NY 11021-5323
(516) 773-7500
(516) 773-7595
Mailing address
825 NORTHERN BLVD, SUITE 201, GREAT NECK, NY 11021-5323
(516) 773-7500
(516) 773-7595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
164949
NY
Other
Enumeration date
05/16/2006
Last updated
01/20/2010
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