Healthcare Provider Details

I. General information

NPI: 1669468146
Provider Name (Legal Business Name): GINGER CHRISTINA SIMOR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 02/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 CHURCH STREET CRAMER HOUSE
SARATOGA SPRINGS NY
12866
US

IV. Provider business mailing address

PO BOX 1368
ALBANY NY
12201-1368
US

V. Phone/Fax

Practice location:
  • Phone: 518-584-9030
  • Fax: 518-581-1709
Mailing address:
  • Phone: 518-584-9030
  • Fax: 518-581-1709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number230192
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: