NPI 1003577818

John W Simmons, PRESIDENT

Practitioner Driver Freeport, NY

Practice location

Address: 4 Johnson Pl, Freeport, NY 11520-5930
Phone: (917) 549-6504
Fax: (516) 992-2637

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1003577818
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2022
Record last updated: 4 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.