Individual
SHANAY ALEXANDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
242 W 30TH ST RM 602, NEW YORK, NY 10001-4954
(929) 276-1724
Mailing address
3755 77TH ST APT 3H, JACKSON HEIGHTS, NY 11372-6622
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
002351
NY
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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