Individual
DAVID GARDNER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3095
(585) 922-3327
(585) 922-3835
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
343646
NY
Other
Enumeration date
10/04/2018
Last updated
01/23/2023
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