Search › New York › 175T00000X
Divine Simon
NPI 1205742095 · on the registry since 2026 · sole proprietor
Practice
- Address
- 10030 Ditmars Blvd
East Elmhurst, NY 11369 - Phone
- (929) 899-6706
- Organisation at this address
- Oms Podiatry Services Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York