Individual
ROBERT M SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 HIGHRIDGE RD, LARCHMONT, NY 10538-1409
(917) 853-2232
Mailing address
6 HIGHRIDGE RD, LARCHMONT, NY 10538-1409
(917) 853-2232
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
163710
NY
208100000X
Physical Medicine & Rehabilitation Physician
035038
CT
208100000X
Physical Medicine & Rehabilitation Physician
Primary
163710
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01644751/02338970
—
NY
01
—
133884168
1199
NY
Enumeration date
02/13/2006
Last updated
05/04/2020
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