Individual
JOSHUA AARON JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
Mailing address
11 IMPERIAL DR, MILLER PLACE, NY 11764-3225
(631) 626-6641
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310936
NY
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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