Individual
JERONA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 SANDS ST, 1G, BROOKLYN, NY 11201-1585
(917) 982-7625
Mailing address
234 SANDS ST, 1G, BROOKLYN, NY 11201-1585
(917) 982-7625
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
20199646
NY
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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