Individual
ULYSSES JOHNSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-6121
Mailing address
PO BOX 28082, NEW YORK, NY 10087-5024
(800) 627-4470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN702922
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
131243
PA
Other
Enumeration date
03/23/2020
Last updated
09/15/2025
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