Individual
DR. NICHELLE T SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
(718) 918-4469
Mailing address
565 ROSE BLVD, NORTH BALDWIN, NY 11510-1042
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
224096
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
224096
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02416360
—
NY
Enumeration date
11/09/2006
Last updated
09/11/2025
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