Individual
JESSICA MARIA SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-7576
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
NY
363AM0700X
Medical Physician Assistant
Primary
—
NY
363AS0400X
Surgical Physician Assistant
—
NY
Other
Enumeration date
10/20/2018
Last updated
10/20/2018
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