MEDICARE: DR. ASHER BRIAN SIMON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	231877	NY

General Provider Information

NPI Number	:	1003960378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHER BRIAN SIMON M.D.

Provider Business Mailing Address
First Line	:	1 GUSTAVE L LEVY PL # 1230
Second Line	:	MOUNT SINAI SCHOOL OF MEDICINE
City	:	NEW YORK
State	:	NY
Zip	:	10029-6500
Country	:	US
Telephone Number	:	212-659-9114
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 MADISON AVE
Second Line	:	4-52
City	:	NEW YORK
State	:	NY
Zip	:	10029-6514
Country	:	US
Telephone Number	:	212-659-9114
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	08/25/2009

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