Individual
ERIC ROBERT JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
59 WEST AVE, BROCKPORT, NY 14420
(585) 637-6120
(585) 637-4772
Mailing address
59 WEST AVE, BROCKPORT, NY 14420
(585) 637-6120
(585) 637-4772
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
180005
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01414933
—
NY
Enumeration date
04/07/2006
Last updated
07/08/2007
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