Individual
DR. NEVIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8520
Mailing address
240 BERNICE DR, EAST MEADOW, NY 11554-3502
(516) 368-4907
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
054163-01
NY
Other
Enumeration date
09/16/2025
Last updated
11/06/2025
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