My Simon Dentistry Pllc

NPI #1568824514 in Baldwin, New York

Provider Information

NPI Number: 1568824514
Entity Type: Organization
Organization Name: My Simon Dentistry Pllc
Primary Specialty: Dentist
Enumeration Date: Mar 28, 2016
Last Updated: Mar 28, 2016

Practice Location

Address: 960 ATLANTIC AVE
City: Baldwin
State: New York
ZIP Code: 11510-4265
Phone: (516) 377-1818

Authorized Official

Name: DR. MATTHEW SIMON
Title: OWNER
Phone: (516) 377-1818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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