Individual
DANNY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
196 SHAKER RD, ALBANY, NY 12211-2028
(443) 935-8076
Mailing address
196 SHAKER RD, ALBANY, NY 12211-2028
(443) 935-8076
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6519519
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6519519
LLC
NY
Enumeration date
10/11/2022
Last updated
10/11/2022
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