Individual
TUKK SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2668 MAIN STREET, CROWN POINT, NY 12928-2668
(518) 597-3343
Mailing address
2668 MAIN STREET, CROWN POINT, NY 12928-2668
(518) 597-3343
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
975322728
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091110000148
FIDELIS CARE NY
NY
Enumeration date
04/09/2010
Last updated
04/09/2010
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