Individual
DR. EMMANUEL JEAN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2320 RALPH AVE, BROOKLYN, NY 11234-5515
(718) 209-8121
(718) 209-8127
Mailing address
1468 E 93RD ST, BROOKLYN, NY 11236-5043
(646) 431-4650
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
066458
NY
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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