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NPI Code Detail

MEDICARE: JANE SIMON MD

MEDICARE:   JANE  SIMON  MD
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
12084P0800XPsychiatry PhysicianMD103375NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124182829
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE SIMON MD
Provider Business Mailing Address
First Line : 145 CENTRAL PARK WEST
Second Line : APT 1A
City : NEW YORK
State : NY
Zip : 10023-6296
Country : US
Telephone Number : 212-877-3566
Fax Number : 212-877-3566
Provider Business Practice Location Address
First Line : 145 CENTRAL PARK WEST
Second Line : APT 1A
City : NEW YORK
State : NY
Zip : 10023-6296
Country : US
Telephone Number : 212-877-3566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 03/07/2023

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Directions to “ JANE SIMON MD” Practice Location

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