Individual
MRS. EILEEN C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1626 BALLTOWN RD, NISKAYUNA, NY 12309-2304
(518) 382-2511
(518) 382-2524
Mailing address
1626 BALLTOWN RD, NISKAYUNA, NY 12309-2304
(518) 382-2511
(518) 382-2524
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
203191
NY
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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