Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Simon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891253068

Michael Simon is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Partly verified

Some contact details are missing from the federal record.

S Drive School Of Dental Medicine
Stony Brook, NY 11794-0001
Phone: (631) 632-3161
Fax: (631) 632-3961
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1891253068
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 6, 2019
Last updated in NPPESMarch 6, 2019
Mailing address176 Stone Schoolhouse Rd, Bloomingburg, NY 12721-3001

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