Individual
CALVIN ROBERT SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4900 BROAD RD, POB NORTH, SUITE 2S, SYRACUSE, NY 13215-2265
(315) 492-5791
(315) 492-5855
Mailing address
1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 476-1792
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F333058
NY
Other
Enumeration date
10/19/2006
Last updated
12/02/2008
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