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General NPI Number Information
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NPI Number | 1437466927
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Entity Type | Organization
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Legal Business Name | JOHN W. SIMON, MD
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Dates
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Enumeration Date | 09/07/2010
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Last Update Date | 09/07/2010
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Provider Practice Location Address
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Address Line | 1220 NEW SCOTLAND RD SUITE 202
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City | SLINGERLANDS
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State | NY
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Zip | 12159-9386
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Country | US
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Telephone | 518-533-6502
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Fax | 518-533-6505
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Provider Business Mailing Address
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Address Line | 1220 NEW SCOTLAND RD SUITE 202
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City | SLINGERLANDS
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State | NY
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Zip | 12159-9386
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Country | US
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Telephone | 518-533-6502
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Fax | 518-533-6505
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN W SIMON
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Credential | M.D.
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Telephone | 518-533-6502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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