Individual
DENISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 02 111 TH AVENUE, QUEENS, NY 11420
(347) 306-5064
(347) 905-4507
Mailing address
12802 111TH AVE, SOUTH OZONE PARK, NY 11420-1607
(347) 306-5064
(347) 905-4509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
345587
NY
Other
Enumeration date
01/16/2014
Last updated
02/28/2025
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