Simmons, Tayler Marie

Simmons, Tayler Marie is an individual health care provider with primary practice located at 200 Westage Business Ctr Dr Suite 240, Fishkill NY 12524-2264. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Simmons, Tayler Marie can be contacted via phone (845) 896-8784.

Contact Information

Primary practice address
200 Westage Business Ctr Dr Suite 240 Fishkill NY 12524-2264
Phone: (845) 896-8784
Fax: (845) 896-8793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 016937 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 016937 New York

Profile Details

NPI number 1245666783
LBN Legal business name Simmons, Tayler Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2013
Last updated Dec 27th, 2016 - about 10 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 1245666783 NPPES
New York MEDICAID 03732143

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