Individual
NANCY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1938 E TREMONT AVE, APT MF, BRONX, NY 10462-5620
(347) 866-5489
Mailing address
1938 E TREMONT AVE, APT MF, BRONX, NY 10462-5620
(347) 866-5489
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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