Individual
KEITH EWING JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 GENESEE ST, ONEIDA, NY 13421-2611
(315) 363-6000
Mailing address
178 CLIZBE AVE, AMSTERDAM, NY 12010-7520
(518) 843-8745
(518) 842-9633
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
240532-1
NY
207L00000X
Anesthesiology Physician
C1-0008872
DE
Other
Enumeration date
07/27/2006
Last updated
04/01/2025
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