| My Simon Dentistry Pllc | |
|
960 Atlantic Ave Baldwin NY 11510-4265 | |
| (516) 377-1818 | |
| Not Available |
| Full Name | My Simon Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 960 Atlantic Ave, Baldwin, New York |
| Authorized Official Name and Position | Matthew Simon (OWNER) |
| Authorized Official Contact | 5163771818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Simon Dentistry Pllc 960 Atlantic Ave Baldwin NY 11510-4265 Ph: () - | My Simon Dentistry Pllc 960 Atlantic Ave Baldwin NY 11510-4265 Ph: (516) 377-1818 |
| NPI Number | 1568824514 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 03/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568824514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 055552 (New York) | Primary |
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