Individual
CASS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 E 92ND ST, BROOKLYN, NY 11236-3623
(347) 240-0964
Mailing address
1155 E 92ND ST, BROOKLYN, NY 11236-3623
(347) 240-0964
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
546892
NY
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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