Individual
CHAD SIMMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
556 E 240TH ST, BRONX, NY 10470-1404
(203) 727-2579
Mailing address
PO BOX 416, WHITE PLAINS, NY 10602-0416
(203) 727-2579
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323031-1
NY
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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