Individual
SIMONA D POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
799 ALBANY ST APT 207, SCHENECTADY, NY 12307-1335
(929) 631-7388
Mailing address
799 ALBANY ST APT 207, SCHENECTADY, NY 12307-1335
(929) 631-7388
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
100352902
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100352902
N/A
NY
Enumeration date
01/10/2023
Last updated
01/10/2023
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