Individual
BRIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 E ADAMS ST, DEPARTMENT OF PSYCHIATRY, SYRACUSE, NY 13210-2342
(617) 332-5611
Mailing address
750 E. ADAMS ST., DEPARTMENT OF PSYCHIATRY, SUNY UPSTATE MEDICAL UNIVERSITY, SYRACUSE, NY 13210
(315) 464-3130
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
132877
NY
Other
Enumeration date
05/03/2006
Last updated
10/01/2013
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