Individual
DR. KATHLEEN R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
420 W END AVE, NEW YORK, NY 10024-5708
(908) 892-5402
Mailing address
152 ASTER CT, WHITEHOUSE STATION, NJ 08889-2031
(908) 823-4271
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
138756-1
NY
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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