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Individual

DEBRA R JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNP

Contact information

Practice address
MMC - DEPT OF MEDICINE, 111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-4291
Mailing address
673 LOCUST ST, #58, MOUNT VERNON, NY 10552-2647
(718) 920-4291
(718) 547-2111

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
303672
NY

Other

Enumeration date
10/27/2006
Last updated
07/08/2007
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