Individual
SANDRA V. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5000
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F333651-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518184019
—
NY
Enumeration date
04/19/2007
Last updated
02/05/2019
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