Individual
BIANCA YOUNG JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
73A TROY RD, EAST GREENBUSH, NY 12061-1310
(518) 449-1142
Mailing address
73A TROY RD, EAST GREENBUSH, NY 12061-1310
(518) 449-1142
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312453
NY
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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