Individual
MRS. JOHANN ANDRIA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
827 CLARKSON AVE, BROOKLYN, NY 11203-2256
(718) 735-7151
(718) 735-7141
Mailing address
14556 229TH ST, SPRINGFIELD GARDENS, NY 11413-3923
(718) 813-7579
(718) 949-6315
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
16009
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992903736
—
NY
Enumeration date
07/24/2012
Last updated
07/24/2012
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