Individual
MR. AUDLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
649 BRONX RIVER RD, YONKERS, NY 10704-1700
(914) 885-5093
Mailing address
649 BRONX RIVER RD # 3, YONKERS, NY 10704-1700
(914) 885-5093
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
08/24/2021
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