Individual
DR. JONATHAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7191
Mailing address
1900 EMPIRE BLVD # 221, WEBSTER, NY 14580-1934
(585) 723-7191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
289321
NY
Other
Enumeration date
04/29/2015
Last updated
11/03/2019
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