Most Relevant Information
Provider Data
| NPI Number: | 1003207440 |
| Provider Name: | WINNIE SIM |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 1781429 |
Most Important Dates
| Enumeration Date: | 02/06/2015 |
| Last Updated: | 02/06/2015 |
Provider Practice Location
3618 203RD ST
BAYSIDE
NY
113611124
Practice Location Phone/Fax
| Phone: | 6469427240 |
| Fax: |
Provider Mailing Location
3618 203RD ST
BAYSIDE
NY
113611124
Provider Mailing Phone/Fax
| Phone: | 6469427240 |
| Fax: |