Individual
MS. ABENA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN STREET, FOREST HILLS, NY 11375
(718) 762-7633
Mailing address
2405 DEERFIELD RD, FAR ROCKAWAY, NY 11691-2711
(917) 701-0010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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