Magda A De Simone, R.P.A.-C.
Physician Assistant in Middletown, NY. Individual provider (NPI-1).
NPI number1790998680
StatusActive
Last updated in NPPESApr 15, 2022
Details
- NPI
- 1790998680
- Entity type
- Individual (NPI-1)
- Name
- Ms. Magda A De Simone
- Credential
- R.P.A.-C.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2007
- Certification date
- Apr 15, 2022
- Last updated
- Apr 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 006407-1 | NY | Yes |
Practice location
28 Rykowski LnDermatology Center At Crystal Run
Middletown, NY 10941-4018
Phone 845-692-3376
Mailing address
Po Box 223Sugar Loaf, NY 10981-0223
Phone 917-301-8580
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