Provider Demographics
NPI:1780869578
Name:SIMON, DAVID H (DPM)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:H
Last Name:SIMON
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:3131 KINGS HIGHWAY
Mailing Address - Street 2:SUITE C-11
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234
Mailing Address - Country:US
Mailing Address - Phone:718-258-2588
Mailing Address - Fax:718-258-2205
Practice Address - Street 1:3131 KINGS HIGHWAY
Practice Address - Street 2:SUITE C-11
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234
Practice Address - Country:US
Practice Address - Phone:718-258-2588
Practice Address - Fax:718-258-2205
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-31
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYN006367213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery