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Contact Information

LLOYD SIMON, MD
44210 COUNTY ROAD 48
SOUTHOLD, NY11971-5032
 Phone: 631-765-4150
 Fax: 631-765-4688
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LLOYD SIMON · (Male)

NPI Number 1811921463
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 04/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 153210
  • NY License # 153210-1
  • NY Medicaid 00757786
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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