Mrs. Phyllis G Simon-Goldman
Adolescent Medicine
270 Union Ave
Holbrook
, New York 11741
Mrs. Phyllis G Simon-Goldman
Adolescent Medicine
270 Union Ave
Holbrook
, New York 11741
(631) 471-3039
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Mrs. Phyllis G Simon-Goldman
- 270 Union Ave Freed, Kleinberg, Nussbaum & Fest, Kronberg, M.d., Llp
- Holbrook, NY
- Zip : 11741
- Fax : (631) 471-3039
- Phone : (631) 588-4442
Second Address
- Mrs. Phyllis G Simon-Goldman
- 270 Union Ave
- Holbrook, NY
- Zip : 11741
- Fax : (631) 331-6282
- Phone : (631) 331-6200
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 240746-1 | NY |
National Provider Identifier
| NPI | 1245431477 |
|---|---|
| Provider Name | Mrs. Phyllis G Simon-Goldman |
| First Address | Holbrook, NY 11741 |
| Second Address | Holbrook, NY 11741 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/05/2007 |
| Last Update Date | 12/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03080866 | (05) | 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.