Provider Demographics
NPI:1285873547
Name:SIMMONS, JOMO K ALAKOYE (LAC DIPL ACU)
Entity type:Individual
Prefix:
First Name:JOMO
Middle Name:K ALAKOYE
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:LAC DIPL ACU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:467 LENOX AVE
Mailing Address - Street 2:APT 41
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-3002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:467 LENOX AVE
Practice Address - Street 2:APT 41
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-3002
Practice Address - Country:US
Practice Address - Phone:718-536-8260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04000171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist