Individual
ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LIJ DEPT OF RADIOLOGY, 270-05 76TH AVENUE, NEW HYDE PARK, NY 11040
(718) 470-7198
Mailing address
LIJ DEPT OF RADIOLOGY, 270-05 76TH AVENUE, NEW HYDE PARK, NY 11040
(718) 470-7198
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
207580
NY
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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