Individual
LAWRENCE F. SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1CROSFIELD AVE, SUITE 105, WEST NYACK, NY 10994
(845) 535-3362
(845) 535-3368
Mailing address
1 CROSFIELD AVE, SUITE 105, WEST NYACK, NY 10994-2222
(845) 535-3362
(845) 535-3368
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
096815-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00496373
—
NY
Enumeration date
12/05/2006
Last updated
07/19/2011
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