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Individual

SIMEON A. LAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
978 ROUTE 45, POMONA, NY 10970
(845) 362-7706
(212) 734-2682
Mailing address
130 E 67TH ST, NEW YORK, NY 10021-6136
(212) 879-6824
(212) 734-2682

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
164930
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01185868
NY
Enumeration date
08/30/2006
Last updated
06/21/2010
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