NPI 1184621401

Geoffrey Simon, MD

Practitioner Surgery Physician Utica, NY

Practice location

Address: 1656 Champlin Ave Suite 203, Utica, NY 13502-4830
Phone: (315) 738-0647
Fax: (315) 738-9719
Mailing address: PO Box 765, New Hartford, NY 13413

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 105165 (NY)

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Registry record

NPI: 1184621401
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2005
Record last updated: 5 Dec 2011

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.