Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Calvin Robert Simmons, NP

Individual provider Nurse Practitioner · NPI 1265514624

Calvin Robert Simmons, NP is a Nurse Practitioner in Syracuse, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4900 Broad Rd Pob N Ste 2S
Syracuse, NY 13215-2265
Phone: (315) 492-5791
Fax: (315) 492-5855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F333058 (NY)

Record details

NPI number1265514624
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESDecember 2, 2008
Mailing address1001 W Fayette St, Suite 400, Syracuse, NY 13204-2859

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