Individual
PROF. ELISABETH SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-9440
(518) 262-9443
Mailing address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-9440
(518) 262-9443
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
193691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00146478
—
NY
Enumeration date
09/22/2005
Last updated
12/05/2011
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