Organization
SIMPSON ORAL AND MAXILLOFACIAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M CAIN (ADMINISTRATIVE ASSISTANT)
(845) 623-3497
Entity
Organization
Contact information
Practice address
113 N MIDDLETOWN RD, NANUET, NY 10954-1929
(845) 623-3497
(845) 623-4039
Mailing address
113 NORTH MIDDLETOWN RD, NANUET, NY 10954
(845) 623-3497
(845) 623-4039
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
42385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01280620
—
NY
01
—
747990
AETNA
NY
01
—
RS279
OXFORD
NY
01
—
SD323
OXFORD
NY
Enumeration date
05/14/2008
Last updated
08/01/2019
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