Individual
SIMON EDWARD MATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1 GUSTAVE L LEVY PL # 1264, NEW YORK, NY 10029-6504
(212) 241-8867
Mailing address
1 GUSTAVE L LEVY PL, BOX 1264, NEW YORK, NY 10029-6504
(212) 241-8867
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
155147
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0079701
MD
Other
Enumeration date
06/20/2012
Last updated
04/05/2018
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