Individual
CHRISTINE JAMIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
609 FULTON AVE, HEMPSTEAD, NY 11550-4540
(516) 489-8888
Mailing address
3150 33RD ST APT 1D, ASTORIA, NY 11106-2436
(347) 426-6971
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026886
NY
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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