Individual
ABIGAIL RUTH JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE FL 5, ROCHESTER, NY 14642-0001
(585) 275-7424
Mailing address
601 ELMWOOD AVENUE BOX 696, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
310782
NY
363L00000X
Nurse Practitioner
Primary
310782
NY
Other
Enumeration date
07/16/2022
Last updated
07/24/2023
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