Organization
NORTHEAST ORTHOPEDICS & SPORTS MEDICINE PLLC
Active
Organization
NORTHEAST ORTHOPEDICS & SPORTS MEDICINE PLLC
Active
Other names
NEOSM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDON A SIMON MD (MD/OWNER)
(845) 359-1877
Entity
Organization
Contact information
Practice address
99 DUTCH HILL RD, ORANGEBURG, NY 10962-2185
(845) 359-1877
(845) 262-5313
Mailing address
99 DUTCH HILL RD, ORANGEBURG, NY 10962-2185
(845) 359-1877
(845) 262-5313
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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