Provider Demographics
NPI:1295901908
Name:SIMPSON, JESSICA BETH (MD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:BETH
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1107 5TH AVE
Mailing Address - Street 2:STE. 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0145
Mailing Address - Country:US
Mailing Address - Phone:917-526-1481
Mailing Address - Fax:
Practice Address - Street 1:1176 5TH AVE
Practice Address - Street 2:BOX 1170
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6503
Practice Address - Country:US
Practice Address - Phone:212-659-8557
Practice Address - Fax:212-369-2385
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2013-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY248276207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG400082864Medicare UPIN