MEDICARE: DR. ERICA SIMANOVSKY D.D.S.

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1144896820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERICA SIMANOVSKY D.D.S.

Provider Business Mailing Address
First Line	:	506 LENOX AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10037-1889
Country	:	US
Telephone Number	:	212-939-2876
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 W 136TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10037-2104
Country	:	US
Telephone Number	:	917-330-7084
Fax Number	:

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

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	06/02/2021

Similar Medicare Providers

1548423650 — MS. ELANIA LANIER
Practice Location Address:

15 W 136TH ST FL 2
NEW YORK, NY
10037-2104

Practice Phone: 212-939-8484
Practice Fax: 212-939-3087

1508219106 — ERIKA COOPER NP
Practice Location Address:

15 W 136TH ST , 2ND FLOOR, KOUNTZ PAVILION
NEW YORK, NY
10037-2104

Practice Phone: 212-939-8078
Practice Fax:

1851887293 — SHAHABEDDIN SASSANPOUR
Practice Location Address:

15 W 136TH ST
NEW YORK, NY
10037-2104

Practice Phone: 212-939-2883
Practice Fax:

1790312106 — DR. ERVA KHAN
Practice Location Address:

15 W 136TH ST
NEW YORK, NY
10037-2104

Practice Phone: 212-939-3370
Practice Fax:

1174191472 — DR. ALI NOOR MALIK DMD, MS
Practice Location Address:

15 W 136TH ST FL 6
NEW YORK, NY
10037-2104

Practice Phone: 212-939-2877
Practice Fax:

1740002922 — DR. NICOLE P WHARFF DMD
Practice Location Address:

15 W 136TH ST
NEW YORK, NY
10037-2104

Practice Phone: 212-939-2890
Practice Fax:

Directions to “ DR. ERICA SIMANOVSKY D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.