Individual
BRIAN RICHARD SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1981 MARCUS AVENUE, LAKE SUCCESS, NY 11042
(516) 355-2273
Mailing address
145 BEACH 127TH ST, BELLE HARBOR, NY 11694-1726
(347) 236-5011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
038541-1
NY
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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