Mitchell Jack Simon in Baldwin Harbor - General Practice
Mitchell Jack Simon - NPI 1821026600
Mitchell Jack Simon is a General Practice in Baldwin Harbor, New York. Mitchell Jack Simon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mitchell Jack Simon is 1821026600. The last update date is 2007-07-08.
Mitchell Jack Simon's current location address is 960 Atlantic Ave, Baldwin Harbor, New York. You can contact this provider via phone number 5163771818 and fax number 5153771831. The mailing address for Mitchell Jack Simon is 960 Atlantic Ave, Baldwin Harbor, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell Jack Simon |
|---|---|
| Address | 960 Atlantic Ave, Baldwin Harbor, New York |
| Phone Number | 5163771818 |
| Fax Number | 5153771831 |
| Sole Proprietor | N |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1821026600 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 960 Atlantic Ave |
|---|---|
| City | Baldwin Harbor |
| State | New York (NY) |
| Post Code | 115104241 |
| Phone Number | 5163771818 |
| Fax Number | 5153771831 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 34526 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Mitchell Jack Simon by the Centers for Medicare & Medicaid Services?
The Mitchell Jack Simon has been assigned the NPI (National Provider Identifier) 1821026600. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mitchell Jack Simon is located?
The Mitchell Jack Simon is situated at the following address: 960 Atlantic Ave, Baldwin Harbor, NY, 115104241.
What is Mitchell Jack Simon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mitchell Jack Simon's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821026600 to Mitchell Jack Simon?
The Centers for Medicare & Medicaid Services assigned the 1821026600 to Mitchell Jack Simon on 2006-06-29.
As of what date were the details pertaining to Mitchell Jack Simon last refreshed?
The information related to the Mitchell Jack Simon, including its address, specialty, and other relevant details, was last updated on 2007-07-08.