Individual
MISS CAROLINE FUNMILAYO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
316 BEACH 65TH ST, FAR ROCKAWAY, NY 11692-1425
(718) 474-3800
Mailing address
141 BEACH 56TH PL, #221, ARVERNE, NY 11692-1922
(718) 634-4036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
598271
NY
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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