Individual
DR. MARGO D SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
198 E 121ST ST FL 5, JANIAN MEDICAL CARE/PPOH, NEW YORK, NY 10035-3523
(212) 801-3300
Mailing address
198 E 121ST ST FL 5, JANIAN MEDICAL CARE/PPOH, NEW YORK, NY 10035-3523
(212) 801-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
264440
NY
207Q00000X
Family Medicine Physician
48674
CT
2084P0800X
Psychiatry Physician
264440
NY
2084P0800X
Psychiatry Physician
48674
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264440
STATE LICENSE
NY
01
—
48674
STATE LICENSE
CT
Enumeration date
06/01/2010
Last updated
12/27/2013
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