Individual
DR. ROMAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 DIVISION ST, APT. 5 FA, NEW YORK, NY 10002-6700
(603) 381-4195
Mailing address
80 CHAMBERS ST APT 14C, NEW YORK, NY 10007-1991
(603) 381-4194
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
250497
NY
208D00000X
General Practice Physician
250497
NY
Other
Enumeration date
12/22/2008
Last updated
03/26/2019
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