Provider Demographics
NPI:1942065081
Name:DESCHENES-SIMARD, XAVIER (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:
Last Name:DESCHENES-SIMARD
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 E 54TH ST APT 5F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5085
Mailing Address - Country:US
Mailing Address - Phone:514-893-6559
Mailing Address - Fax:
Practice Address - Street 1:311 E 54TH ST APT 5F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5085
Practice Address - Country:US
Practice Address - Phone:514-893-6559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY326920207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology