MR. John W Simmons II, PRESIDENT

NPI #1003577818 in Freeport, New York

Provider Information

NPI Number: 1003577818
Entity Type: Individual
Name: MR. John W Simmons II, PRESIDENT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Credential: PRESIDENT
Enumeration Date: Jan 4, 2022
Last Updated: Jan 4, 2022

Practice Location

Address: 4 JOHNSON PL
City: Freeport
State: New York
ZIP Code: 11520-5930
Phone: (917) 549-6504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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