Individual
MS. PETRONA SIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
12033 196TH ST, SAINT ALBANS, NY 11412-3721
(718) 926-8435
Mailing address
12033 196TH ST, SAINT ALBANS, NY 11412-3721
(718) 926-8435
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
343126500611E
NY
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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