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DR. SIDNEY SIMON D.O.

Allergy

Bronx, New York

Provider NPI: 1982606760

Provider Information:
DR. SIDNEY  SIMON D.O.


Practice Location:
1625 SAINT PETERS AVE SUITE 303 BRONX, NY 10461 US
Tel: 718-892-0701  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
NY070551

Other Provider Identifiers:

IssuerNumberStateType
00240042NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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