Individual
CASSANDRA SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
329 WEIRFIELD ST, BROOKLYN, NY 11237-6113
(646) 326-0616
Mailing address
329 WEIRFIELD ST, BROOKLYN, NY 11237-6113
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311075-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02386450
—
NY
Enumeration date
11/22/2013
Last updated
11/22/2013
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