Dr Esau Walter Simpson, DC | |
409 Fulton St Fl 2, Brooklyn, NY 11201-5103 | |
(718) 260-1000 | |
Not Available |
Full Name | Dr Esau Walter Simpson |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 409 Fulton St Fl 2, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396465662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 013651 (New York) | Primary |
Provider Name | Physiologic Chiropractic & Physical Therapy, Pllc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225262785 PECOS PAC ID: 8527105345 Enrollment ID: O20091028000258 |
Mailing Address | Practice Location Address |
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Dr Esau Walter Simpson, DC 538 Pacific St Apt 3, Brooklyn, NY 11217-1919 Ph: (347) 682-9966 | Dr Esau Walter Simpson, DC 409 Fulton St Fl 2, Brooklyn, NY 11201-5103 Ph: (718) 260-1000 |
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