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Individual

ANDREA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4401 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 13413-5331
(157) 331-1483
(315) 734-4988
Mailing address
2215 GENESEE ST, UTICA, NY 13501-5930
(315) 801-8534
(315) 801-8391

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
249644
NY
207RC0000X
Cardiovascular Disease Physician
249644
NY

Other

Enumeration date
06/21/2007
Last updated
07/01/2024
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