Individual
CHRISTINA E JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1428 36TH ST, BROOKLYN, NY 11218-3710
(516) 341-9492
Mailing address
3333 BROADWAY APT E13F, NEW YORK, NY 10031-8716
(985) 720-8010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344005
NY
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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