Healthcare Provider Details

I. General information

NPI: 1851246060
Provider Name (Legal Business Name): SIMON HEINZ DUBLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MONTEFIORE MEDICAL CENTER 111 E 210 ST
BRONX NY
10467
US

IV. Provider business mailing address

MONTEFIORE MEDICAL CENTER, ANESTHESIOLOGY 111 E. 210 STREET
BRONX NY
10467
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-4316
  • Fax:
Mailing address:
  • Phone: 718-920-6423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number344758
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: