Individual
EMILY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
960 SALT SPRINGS RD, SYRACUSE, NY 13224-1696
(315) 446-6250
Mailing address
960 SALT SPRINGS RD, SYRACUSE, NY 13224-1696
(315) 446-6250
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15-0539090
—
NY
Enumeration date
10/17/2022
Last updated
10/17/2022
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