Individual
ROBERT ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 HATFIELD LN STE 101, GOSHEN, NY 10924-6735
(845) 294-8888
(845) 291-7054
Mailing address
20 GRAND ST FL 3, WARWICK, NY 10990-1035
(845) 987-3906
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
206842
NY
207RP1001X
Pulmonary Disease Physician
Primary
206842
NY
207RP1001X
Pulmonary Disease Physician
MD061877L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016486740008
—
PA
05
—
0016486740009
—
PA
05
—
01753126
—
NY
Enumeration date
07/24/2006
Last updated
10/04/2024
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