Individual
MR. DONALD PETER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 NEW YORK AVE # 25A, SMITHTOWN, NY 11787-3448
(631) 862-3000
Mailing address
19 WILLETT AVE, SAYVILLE, NY 11782-2319
(631) 576-5050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F340365
NY
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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