Individual
ALEXANDER SIMAO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1044 STATE ST, SCHENECTADY, NY 12307-1508
(518) 370-1441
(518) 395-9431
Mailing address
624 MCCLELLAN ST, SUITE 101, SCHENECTADY, NY 12304-1020
(518) 347-5293
(518) 347-5196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
300876
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995513
—
NY
01
—
331833
MEDICARE OSCAR
NY
01
—
53099A
MEDICARE UPIN
NY
Enumeration date
06/21/2016
Last updated
10/15/2020
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