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Individual

BRANDON SIMIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
420 W BELMONT ST, ONTARIO, CA 91762-5107
(909) 714-2996

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
032515
NY
363A00000X
Physician Assistant
032515
NY

Other

Enumeration date
09/10/2024
Last updated
02/11/2025
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