Doctor Name: | CYNTHIA LEE SIMPSON |
NPI Number: | 1265438824 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F3317951 |
Business Practice Address: | 4 Fuller St Alexandria Bay, NY - 13607 |
Business Phone Number: | 3154822511 |
Business Fax Number: | 3154824981 |
Mailing Address: | 4 Fuller St, ALEXANDRIA BAY |
State: | NY |
Postal Code: | 13607 |
Phone Number: | 3154822511 |
Fax Number: | 3154824981 |
NPI Enumeration Date: | 06/28/2005 |
NPI Last Update Date: | 10/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F3317951 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |