Individual
DR. RICHARD MICHAEL SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
48 HARRISON STREET, JOHNSON CITY, NY 13790
(607) 729-5016
(607) 729-7574
Mailing address
48 HARRISON STREET, JOHNSON CITY, NY 13790
(607) 729-5016
(607) 729-7574
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
109487
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00525700
—
NY
Enumeration date
05/30/2006
Last updated
04/14/2009
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