Individual
RON'NISE THERESA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1250 WATERS PLACE, TOWER II, 7TH FLOOR, VASCULAR SURGERY DEPARTMENT, BRONX, NY 10461
(929) 263-3741
(929) 263-3948
Mailing address
1250 WATERS PLACE, TOWER II, 7TH FLOOR, VASCULAR SURGERY DEPARTMENT, BRONX, NY 10461
(929) 263-3741
(929) 263-3948
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015529
NY
Other
Enumeration date
06/09/2012
Last updated
02/06/2019
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