Individual
JENNIFER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 HILLTOP LN, WHEATLEY HEIGHTS, NY 11798-1303
(631) 579-4112
Mailing address
500 8TH AVENUE, FRNT 3, #1630, MANHATTAN, NY 10018
(631) 579-4112
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
332U00000X
Home Delivered Meals
Primary
—
—
374U00000X
Home Health Aide
00623941
NY
376J00000X
Homemaker
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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