Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 51362 | NY |
Y | 213EG0000X | General Practice | 51362 | NY |
NPI | 1003806035 |
---|---|
Provider Name | Dr. Alexandra Monica Simpson |
First Address | Douglaston, NY 11362-1627 |
Second Address | New York, NY 10016-6004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 08/07/2007 |