Individual
NICOLE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
534 3RD ST, MAMARONECK, NY 10543-1642
(718) 448-6293
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
002065-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02518981
—
NY
Enumeration date
08/01/2006
Last updated
07/08/2007
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