Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME120471 | FL |
Y | 111NI0900X | Internist | ME120471 | FL |
N | 208000000X | Pediatrician | 180413 | NY |
N | 2080P0210X | Pediatric Nephrologist | 180413 | NY |
NPI | 1548299449 |
---|---|
Provider Name | Dr. Ari Menachem Simckes |
First Address | Beachwood, OH 44122-5831 |
Second Address | Spring Valley, NY 10977-1960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 13/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01421705 | (05) | NY |
F83607 | (02) | NY |