Individual
MICHAEL BRADLEY SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 READE PL, ANESTHESIA DEPARTMENT, POUGHKEEPSIE, NY 12601-3947
(845) 431-5629
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
197187
NY
207L00000X
Anesthesiology Physician
D0062365
MD
207L00000X
Anesthesiology Physician
MD428861
PA
207L00000X
Anesthesiology Physician
ME124285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01862000
—
NY
05
—
1016536210001
—
PA
Enumeration date
07/07/2005
Last updated
03/18/2026
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