Individual
REBECCA RUTH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 UNION ST, MIDDLETOWN, NY 10940-4906
(845) 239-1736
Mailing address
24 UNION ST, MIDDLETOWN, NY 10940-4906
(845) 239-1736
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0407
NY
175T00000X
Peer Specialist
NYCPS-3427
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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