Individual
CATHERINE JOHNSON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 OAKLAND AVE, CENTRAL ISLIP, NY 11722-2109
(917) 520-9112
Mailing address
202 OAKLAND AVE, CENTRAL ISLIP, NY 11722-2109
(917) 520-9112
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325391-1
NY
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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