Individual
CATHERINE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
59 BONIFACE DR, PINE BUSH, NY 12566-7011
(845) 744-4499
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F336435
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404377
—
NY
Enumeration date
10/28/2010
Last updated
03/30/2018
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