33D1086960 CLIA NUMBER - HOWARD JOHN SIMON MD PC DBA SIMONMED IMAGING - CARNEGIE HILL

Laboratory Demographics

CLIA Number: 33D1086960

Facility Name: HOWARD JOHN SIMON MD PC DBA SIMONMED IMAGING - CARNEGIE HILL

Facility Address:
170 EAST 77TH STREET, LOWER LEVEL
NEW YORK, NY
ZIP 10075
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Facility Phone Number: 212 369-9200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1932768934

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	33D1086960
LAB Type	Physician Office
Facility Name	HOWARD JOHN SIMON MD PC DBA SIMONMED IMAGING - CARNEGIE HILL
Street	170 EAST 77TH STREET, LOWER LEVEL
City	NEW YORK
State	NY
ZIP	10075
Phone	212 369-9200
CertificateType	4
CertificateEffectiveDate	7/23/2022
CertificateExpirationDate	7/22/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024