Individual
STEVEN SIMONSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 MONTAUK HWY, WEST ISLIP, NY 11795-4437
(631) 422-9530
Mailing address
340 MONTAUK HWY, WEST ISLIP, NY 11795-4437
(631) 422-9530
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
146175
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000874
RAILROAD MEDICARE
NY
Enumeration date
09/20/2006
Last updated
04/11/2008
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