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NPI Code Detail

MEDICARE: DR. EDWIN SIMPSER MD

MEDICARE:  DR. EDWIN  SIMPSER  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
12080P0206XPediatric Gastroenterology Physician162210NY

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 : 1376620807
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWIN SIMPSER MD
Provider Business Mailing Address
First Line : 2901 216TH ST
Second Line :
City : BAYSIDE
State : NY
Zip : 11360-2810
Country : US
Telephone Number : 718-281-8778
Fax Number : 718-281-8590
Provider Business Practice Location Address
First Line : 2901 216TH ST
Second Line :
City : BAYSIDE
State : NY
Zip : 11360-2810
Country : US
Telephone Number : 718-281-8778
Fax Number : 718-281-8590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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