Individual
ELAHEH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
173 MINEOLA BLVD, MINEOLA, NY 11501-2528
(212) 263-2225
Mailing address
173 MINEOLA BLVD, MINEOLA, NY 11501-2528
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013230
NY
Other
Enumeration date
05/20/2010
Last updated
10/23/2024
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