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Individual

SARA J JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
315 E MIDDLE COUNTRY RD, SMITHTOWN, NY 11787-2829
(631) 360-7778
(631) 360-1546
Mailing address
315 MIDDLE COUNTRY RD, SMITHTOWN, NY 11787-2817
(631) 656-7161
(631) 360-1546

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
133527
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01049623
NY
Enumeration date
09/26/2005
Last updated
05/19/2014
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