Organization
NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC
Active
Organization
NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN A SIMON MD (OWNER)
(845) 359-1877
Entity
Organization
Contact information
Practice address
350 S MAIN ST, NEW CITY, NY 10956-3049
(845) 634-7500
(845) 634-7566
Mailing address
350 S MAIN ST, NEW CITY, NY 10956-3049
(845) 634-7500
(845) 634-7566
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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