Most Relevant Information
Provider Data
| NPI Number: | 1003577818 |
| Provider Name: | JOHN W SIMMONS PRESIDENT |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/04/2022 |
| Last Updated: | 01/04/2022 |
Provider Practice Location
4 JOHNSON PL
FREEPORT
NY
115205930
Practice Location Phone/Fax
| Phone: | 9175496504 |
| Fax: | 5169922637 |
Provider Mailing Location
4 JOHNSON PL
FREEPORT
NY
115205930
Provider Mailing Phone/Fax
| Phone: | 9175496504 |
| Fax: | 5169922637 |