Individual
KENAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3235 GRACE AVE, BRONX, NY 10469-3136
(646) 281-0342
Mailing address
3235 GRACE AVE, BRONX, NY 10469-3136
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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