Individual
PAUL ONIEL SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A-GNP-BC
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(121) 230-5706
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-7060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
F309249-01
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
309249
NY
Other
Enumeration date
11/17/2019
Last updated
05/01/2020
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