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Michael Simon
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1891253068

Michael Simon is a Student in an Organized Health Care Education/Training Program based in Bloomingburg, NY. Michael Simon practices in Stony Brook, NY. The NPI Number for Michael Simon is 1891253068 and holds a License No. (New York).

The current practice location address for Michael Simon is South Drive School Of Dental Medicine, Stony Brook, NY and can be reached out via phone at 631-632-3161 and via fax at 631-632-3961.

Location: South Drive School Of Dental Medicine, Stony Brook, NY, 12721-3001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891253068
Provider Name
Michael Simon
Credential
Provider Entity Type
Individual
Gender
Male
Address
South Drive School Of Dental Medicine, Stony Brook, NY, 12721-3001
Phone Number
631-632-3161
Fax Number
631-632-3961
Provider Enumeration Date
03/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
South Drive School Of Dental Medicine
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-632-3161
Fax Number
631-632-3961
person
Provider Business Mailing Address Details
Address
South Drive School Of Dental Medicine
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-632-3161
Fax Number
631-632-3961
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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