Individual
DR. ADAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 W 57TH ST, NEW YORK, NY 10019-2303
(646) 685-3268
Mailing address
119 W 57TH ST STE 511, NEW YORK, NY 10019-2302
(646) 685-3268
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021355
NY
Other
Enumeration date
09/15/2015
Last updated
10/11/2019
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