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 |