Individual
MRS. CARYL D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT CHT
Contact information
Practice address
160 W 66TH ST, SUITE 37-J, NEW YORK, NY 10023-6555
(212) 721-0460
(646) 559-2792
Mailing address
PO BOX 237046, ANSONIA STATION, NEW YORK, NY 10023-0028
(212) 721-0460
(646) 559-2792
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0033341
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P391770
OXFORD
—
01
—
Q5962Q5061
MEDICARE
NY
Enumeration date
10/18/2006
Last updated
12/08/2011
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