Organization
MICHAEL SIMON PH.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SIMON PH.D. (PRESIDENT)
(516) 483-0289
Entity
Organization
Contact information
Practice address
1473 ROSE LN, EAST MEADOW, NY 11554-3618
(516) 483-0289
(516) 483-0295
Mailing address
1473 ROSE LN, EAST MEADOW, NY 11554-3618
(516) 483-0289
(516) 483-0295
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
5778
NY
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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