Individual
TAYLOR C SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 789-2115
Mailing address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4296
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
016251-1
NY
363AS0400X
Surgical Physician Assistant
Primary
4047
CT
Other
Enumeration date
01/23/2013
Last updated
06/24/2019
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