Individual
ATHENA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1661 NOSTRAND AVE APT 3F, BROOKLYN, NY 11226-5596
(929) 601-9204
Mailing address
1661 NOSTRAND AVE APT 3F, BROOKLYN, NY 11226-5596
(929) 601-9204
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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