Provider Demographics
NPI:1902076326
Name:CIMONS, PERRY A (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:PERRY
Middle Name:A
Last Name:CIMONS
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 PALISADE AVE
Mailing Address - Street 2:ROBBINS PHARMACY
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703
Mailing Address - Country:US
Mailing Address - Phone:914-963-0679
Mailing Address - Fax:913-476-3100
Practice Address - Street 1:670 PALISADE AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-0224
Practice Address - Country:US
Practice Address - Phone:914-963-0679
Practice Address - Fax:913-476-3100
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0022434183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist