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ALFONSO SO SIM MD NPI 1801882196


NPI Information

NPI: 1801882196
Provider Name: ALFONSO SO SIM, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
740 64TH ST
BROOKLYN, NY
ZIP 11220
Phone: (718) 439-2000
Get Directions

Alfonso So Sim, MD is a pediatrics in Brooklyn, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Alfonso So Sim, MD NPI is 1801882196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

740 64TH ST
BROOKLYN, NY
ZIP 11220-714
Phone: (718) 439-2000
Fax: (718) 439-2196

The enumeration date for this NPI number is 9/22/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics126356NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
132A892MEDICARE ID-TYPE UNSPECIFIED
232A893MEDICARE ID-TYPE UNSPECIFIED
3C08392MEDICARE UPIN
400468539MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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