Individual
MS. AMA B DEGRAFT-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
960 SOUTHERN BLVD, BRONX, NY 10459-3402
(718) 589-2440
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
248702
NY
Other
Enumeration date
09/28/2009
Last updated
08/22/2013
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