Individual
ILYA SIMAKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
34 W 12TH ST, NEW YORK, NY 10011-8636
(212) 989-0850
Mailing address
34 W 12TH ST, NEW YORK, NY 10011-8636
(212) 989-0850
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X004058-1
NY
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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