Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 252842 | NY |
NPI | 1003040569 |
---|---|
Provider Name | Jennifer Simkins |
First Address | Williamsville, NY 14221-6728 |
Second Address | Williamsville, NY 14221-6728 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2009 |
Last Update Date | 12/05/2009 |