Individual
MISS CARLI MARIE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
489 5TH AVE FL 3, NEW YORK, NY 10017-6145
(212) 441-4400
(415) 252-7176
Mailing address
129 W 29TH ST FL 10, NEW YORK, NY 10001-5105
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022694
NY
363AM0700X
Medical Physician Assistant
022694
NY
Other
Enumeration date
09/09/2018
Last updated
03/18/2025
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