Individual
NINA LEE OWEN-SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-3038
Mailing address
177 FORT WASHINGTON AVE # 7GS-313, NEW YORK, NY 10032-3733
(212) 305-3038
(212) 305-8321
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
313066
NY
Other
Enumeration date
04/11/2018
Last updated
06/27/2025
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