Individual
DR. S. LAWRENCE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,P.C.
Contact information
Practice address
30 CENTRAL PARK S, SUITE 10- D, NEW YORK, NY 10019-1628
(212) 317-2055
(212) 317-2056
Mailing address
30 CENTRAL PARK S, SUITE 10- D, NEW YORK, NY 10019-1628
(212) 317-2055
(212) 317-2056
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
024662
NY
Other
Enumeration date
12/09/2013
Last updated
03/07/2023
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