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Individual

DR. RICHARD JOSEPH SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1783 ROUTE 9, SUITE 101, HALFMOON, NY 12065-2409
(518) 782-3810
(518) 782-3838
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
237138
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03158770
NY
Enumeration date
05/11/2009
Last updated
08/29/2016
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