Individual
DR. VANDA R. SCOTT-JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
241 W 138TH ST, GROUND FLOOR, NEW YORK, NY 10030-2102
(212) 694-2392
(212) 694-4020
Mailing address
13445 166TH PL, APT# 12B, JAMAICA, NY 11434-3854
(718) 712-7496
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N004013
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012137
G.H.I.
NY
05
—
00913144
—
NY
Enumeration date
09/04/2006
Last updated
07/08/2007
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