Individual
MR. CHAIM MOSHE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
973 47TH ST # STREETA4, BROOKLYN, NY 11219-2830
(718) 781-7295
Mailing address
973 47TH ST # STREETA4, BROOKLYN, NY 11219-2830
(718) 781-7295
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X- SPECIALI
TEACHER
NY
Enumeration date
07/09/2012
Last updated
07/09/2012
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