Individual
SIMON MAYBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-1428
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-3317
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
239261
NY
207RC0000X
Cardiovascular Disease Physician
239261
NY
Other
Enumeration date
10/13/2006
Last updated
08/15/2019
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