Individual provider · Type 1 NPI

Michael Simon

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1891253068 Active

Practice location

South Drive School Of Dental Medicine
Stony Brook, NY 11794-0001

Call (631) 632-3161 Map

Fax (631) 632-3961

Mailing address

176 Stone Schoolhouse Rd
Bloomingburg, NY 12721-3001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891253068

Michael Simon's National Provider Identifier is 1891253068, issued on Mar 6, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Mar 6, 2019.