NPI 1073085676

Sf Ohio Medical Services Corp

Organisation Family Medicine Physician Dayton, OH

Practice location

Address: 1390 King Tree Dr, Dayton, OH 45405-1401
Phone: (718) 280-5436
Fax: (718) 362-1651
Mailing address: 228 E Route 59 # 408, Nanuet, NY 10954-2905

Authorised official

Name: Simon Fensterszaub
Title: Owner
Phone: (718) 362-1411

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Ohio →

Registry record

NPI: 1073085676
Entity type: Organization
NPI issued: 20 Dec 2018
Record last updated: 18 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.