National Provider Identifier
Peter J. Simone, RPA-C
Peter J. Simone, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Brockport, NY and a listed phone number of (585) 637-3131.
Profile Overview
- NPI
- 1740466473
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 11, 2008
- Last Updated
- January 11, 2008
Practice Location
- 156 West Ave
- Brockport, NY 14420-1229
Phone: (585) 637-3131
Mailing Address
- 156 West Avenue
- Lakeside Memorial Hospital
- Brockport, NY 14420-0000
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1740466473
- Entity Type
- Individual
- Last Name
- Simone
- First Name
- Peter
- Middle Name
- J.
- Credential
- RPA-C
- Mailing Street Address
- 156 West Avenue
- Mailing Address Line 2
- Lakeside Memorial Hospital
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-0000
- Mailing Country
- US
- Mailing Phone
- (585) 637-3131
- Mailing Fax
- (585) 395-6036
- Practice Street Address
- 156 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1229
- Practice Country
- US
- Practice Phone
- (585) 637-3131
- Practice Fax
- (585) 395-6036
- Enumeration Date
- January 11, 2008
- Last Updated
- January 11, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)