Organization
KEITH P, JOHNSON, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH P JOHNSON MD (CEO)
(917) 841-3931
Entity
Organization
Contact information
Practice address
314 W 14TH ST, 6TH FLOOR, NEW YORK, NY 10014-5002
(212) 620-0159
(917) 388-3379
Mailing address
314 W 14TH ST, 6TH FLOOR, NEW YORK, NY 10014-5002
(212) 620-0159
(917) 388-3379
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
211734
NY
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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