Individual
EDWARD R. JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N/A
Contact information
Practice address
6196 LIBERTY POLE RD, DANSVILLE, NY 14437-9776
(585) 447-0229
Mailing address
6196 LIBERTY POLE RD, DANSVILLE, NY 14437-9776
(585) 447-0229
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
322033009
NY
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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