Individual
DR. RICHARD W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9525 QUEENS BLVD, 2ND FL NEUROSURGERY DEPT, REGO PARK, NY 11374
(718) 459-7700
(718) 286-1140
Mailing address
PO BOX 747821, REGO PARK, NY 11374
(718) 459-7700
(718) 286-1140
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
180402
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01514929
—
NY
Enumeration date
01/23/2007
Last updated
08/29/2022
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