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Individual

CYNTHIA LEE SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4 FULLER ST, ALEXANDRIA BAY, NY 13607
(315) 482-2511
(315) 482-4981
Mailing address
4 FULLER ST, ALEXANDRIA BAY, NY 13607
(315) 482-2511
(315) 482-4981

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5410175
NY
363LF0000X
Family Nurse Practitioner
F3317951
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02392854
NY
Enumeration date
06/28/2005
Last updated
10/27/2011
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