Individual
VALERIE L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
428 E 72ND ST OFC 100, NEW YORK, NY 10021-4635
(212) 746-3260
(212) 746-3988
Mailing address
428 E 72ND ST OFC 100, NEW YORK, NY 10021-4635
(212) 746-0373
(212) 746-7481
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
137315
NY
2080P0210X
Pediatric Nephrology Physician
Primary
137315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00845661
—
NY
Enumeration date
10/11/2006
Last updated
09/19/2011
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