Individual
CLINTON SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
100 ELBEL CT, ALBANY, NY 12209-1239
(518) 475-6434
Mailing address
100 ELBEL CT, ALBANY, NY 12209-1239
(518) 475-6434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
441257
NY
163WS0200X
School Registered Nurse
Primary
441257
NY
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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