Individual
MR. BENJAMIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 GENESEE ST, UTICA, NY 13501-5930
(315) 793-1198
(315) 733-3142
Mailing address
201 MARION ST, HERKIMER, NY 13350-2111
(315) 868-2063
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23 019290
NY
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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