Individual
MR. PRESTON DARIAN TOTESAU-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
66 FLETCHER AVE, VALLEY STREAM, NY 11580-4024
(917) 216-1142
Mailing address
66 FLETCHER AVE, VALLEY STREAM, NY 11580-4024
(917) 216-1142
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014007
NY
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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