Individual
CONSTANCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 INWOOD RD, GLEN COVE, NY 11542-1511
(917) 400-8194
(917) 400-8194
Mailing address
4 INWOOD RD, GLEN COVE, NY 11542-1511
(917) 400-8194
(917) 400-8194
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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