Individual
AMANDA SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1956 NEEDHAM AVE, BRONX, NY 10466-5849
(347) 902-6891
Mailing address
1956 NEEDHAM AVE, BRONX, NY 10466-5849
(347) 902-6891
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337479-01
NY
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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