Individual
ROBERT PAUL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
32 UNION SQ E, 615N, NEW YORK, NY 10003-3209
(718) 869-0108
Mailing address
6023 MASPETH AVE, REAR HOUSE, MASPETH, NY 11378-2711
(718) 869-0108
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005102
NY
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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