Simmons, Crystal L

Simmons, Crystal L is an individual health care provider with primary practice located at 214 King St , Ogdensburg NY 13669-1142. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Simmons, Crystal L can be contacted via phone (315) 713-5720.

Contact Information

Primary practice address
214 King St Ogdensburg NY 13669-1142
Phone: (315) 713-5720
Fax: (315) 713-5741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 401481 New York

Profile Details

NPI number 1275897951
LBN Legal business name Simmons, Crystal L
Credentials FPMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Feb 10th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275897951 NPPES
New York MEDICAID 03685669

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