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NPI Code Detail

MEDICARE: BATYA SIMON

MEDICARE:   BATYA  SIMON
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1851816730
Entity Type Code : Individual
Provider Name (Legal Business Name) : BATYA SIMON
Provider Business Mailing Address
First Line : 8315 LEFFERTS BLVD APT 4L
Second Line :
City : KEW GARDENS
State : NY
Zip : 11415-2541
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8315 LEFFERTS BLVD APT 4L
Second Line :
City : KEW GARDENS
State : NY
Zip : 11415-2541
Country : US
Telephone Number : 973-897-9032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2017
Last Update Date : 08/11/2017

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Directions to “ BATYA SIMON ” Practice Location

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