Dr. Lloyd Simon
Internist Internist - Addiction Medicine
44210 County Road 48
Southold
, New York 11971-5032
Dr. Lloyd Simon
Internist Internist - Addiction Medicine
44210 County Road 48
Southold
, New York 11971-5032
(631) 765-4688
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Lloyd Simon
- Po Box 1341
- Southold, NY
- Zip : 11971-0963
- Fax : (631) 765-4688
- Phone : (631) 765-4150
Second Address
- Dr. Lloyd Simon
- 44210 County Road 48
- Southold, NY
- Zip : 11971-5032
- Fax : (631) 765-4688
- Phone : (631) 765-4150
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 153210 | NY |
| Y | 111NI0900X | Internist | 153210 | NY |
| N | 207RA0401X | Internist - Addiction Medicine | 153210-1 | NY |
National Provider Identifier
| NPI | 1811921463 |
|---|---|
| Provider Name | Dr. Lloyd Simon |
| First Address | Southold, NY 11971-0963 |
| Second Address | Southold, NY 11971-5032 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 06/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00757786 | (05) | NY |
| B87339 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.