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NPI Code Detail

MEDICARE: SIMON SAADA, M.D., P.C.

MEDICARE: SIMON SAADA, M.D., P.C.
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
1208800000XUrology Physician129761NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2A100080283OTHERNYPTAN

General Provider Information

NPI Number : 1467796094
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIMON SAADA, M.D., P.C.
Provider Business Mailing Address
First Line : 705 86 STREET
Second Line : SIMON SAADA, M.D., P.C.
City : BROOKLYN
State : NY
Zip : 11228-3220
Country : US
Telephone Number : 718-238-1075
Fax Number : 718-238-1174
Provider Business Practice Location Address
First Line : 705 86 STREET
Second Line : SIMON SAADA, M.D., P.C.
City : BROOKLYN
State : NY
Zip : 11228-3220
Country : US
Telephone Number : 718-238-1075
Fax Number : 718-238-1174
Authorized Official
Title or Position : M.D.
Name : SIMON SAADA
Credential : M.D.
Telephone Number : 718-238-1075
Provider Enumeration Date : 11/20/2012
Last Update Date : 04/18/2013

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Directions to “SIMON SAADA, M.D., P.C. ” Practice Location

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