Individual
ALYSSA CHRISTINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 470-7873
(718) 470-9113
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
304197
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/03/2017
Last updated
01/13/2021
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