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Individual

DR. JONATHAN C. SIMMONDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 848-8070
(914) 681-5251
Mailing address
800 WESTCHESTER AVE STE N715, RYE BROOK, NY 10573-1369
(191) 460-7573

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
309204
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
263654
MEDICAL LICENSE NUMBER
MA
Enumeration date
06/02/2015
Last updated
08/18/2021
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