Individual
TAYLER MARIE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 WESTAGE BUSINESS CTR DR, SUITE 240, FISHKILL, NY 12524-2264
(845) 896-8784
(845) 896-8793
Mailing address
200 WESTAGE BUSINESS CTR DR, SUITE 240, FISHKILL, NY 12524-2264
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016937
NY
363AM0700X
Medical Physician Assistant
Primary
016937
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03732143
—
NY
Enumeration date
09/16/2013
Last updated
12/27/2016
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