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Individual

MAURICE C JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
618 SCHENECTADY AVE, BROOKLYN, NY 11203
(718) 774-3950
(718) 493-3798
Mailing address
277 MAXSON AVE, FREEPORT, NY 11520
(718) 774-3950
(718) 493-3798

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
192925
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01430217
NY
Enumeration date
03/23/2007
Last updated
07/30/2008
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