Individual
DR. DIANE H JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 STATION PLZ N, MINEOLA, NY 11501-3808
(516) 663-2507
(516) 663-2753
Mailing address
222 STATION PLZ N, MINEOLA, NY 11501-3808
(516) 663-2507
(516) 663-2753
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1856071
NY
207RI0200X
Infectious Disease Physician
Primary
185607
NY
Other
Enumeration date
04/21/2006
Last updated
03/24/2021
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