Individual
MR. ROZANO ISMAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPS
Contact information
Practice address
1767 PARK AVE FL 2, NEW YORK, NY 10035-1923
(917) 697-5809
Mailing address
1767 PARK AVE FL 2, NEW YORK, NY 10035-1923
(201) 774-2164
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P22766
NY
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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