Individual
SIMONE ALISE BETCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7219
(718) 635-7149
Mailing address
PO BOX 27371, NEW YORK, NY 10087-7371
(718) 283-7219
(718) 635-7149
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
218810
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02842648
—
NY
Enumeration date
10/18/2006
Last updated
03/18/2009
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