Healthcare Provider Details

I. General information

NPI: 1972843837
Provider Name (Legal Business Name): GILBERT CHARLES SIMPKINS FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SPIKE SIMPKINS

II. Dates (important events)

Enumeration Date: 02/28/2013
Last Update Date: 02/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 ANDES RD BASSETT HEALTHCARE NETWORK - DELHI HEALTH CENTER
DELHI NY
13753-7407
US

IV. Provider business mailing address

460 ANDES RD BASSETT HEALTHCARE NETWORK - DELHI HEALTH CENTER
DELHI NY
13753-7407
US

V. Phone/Fax

Practice location:
  • Phone: 607-746-0550
  • Fax: 607-746-0568
Mailing address:
  • Phone: 607-746-0550
  • Fax: 607-746-0568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number337823
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: