Individual
ZACHARY T/C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 HAMILTON AVE STE 413, WHITE PLAINS, NY 10601-1817
(845) 452-2728
Mailing address
102 FULTON AVE, POUGHKEEPSIE, NY 12603-2857
(845) 452-2728
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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