Provider Demographics
NPI:1679850986
Name:EPSTEIN, SIMA YAKOBY
Entity Type:Individual
Prefix:MRS
First Name:SIMA
Middle Name:YAKOBY
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:SIMA
Other - Middle Name:
Other - Last Name:YAKOBY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:111 BROADWAY
Mailing Address - Street 2:SUITE 1707
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10006-1901
Mailing Address - Country:US
Mailing Address - Phone:212-871-9835
Mailing Address - Fax:212-871-9839
Practice Address - Street 1:111 BROADWAY
Practice Address - Street 2:SUITE 1707
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006-1901
Practice Address - Country:US
Practice Address - Phone:212-871-9835
Practice Address - Fax:212-871-9839
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0509751223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics