Individual
DR. SIMON NICHOLAS POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6072
(212) 639-8876
Mailing address
633 3RD AVE, BOX 3, NEW YORK, NY 10017-6706
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
2005001573
MO
2085R0001X
Radiation Oncology Physician
Primary
60-250030
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207262106
—
MO
Enumeration date
07/14/2006
Last updated
09/30/2008
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