Individual
DR. MARCUS D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
1103 STEWART AVE FL 1, GARDEN CITY, NY 11530-4859
(516) 222-1822
(516) 227-5361
Mailing address
30 E 40TH ST, RM 1004, NEW YORK, NY 10016-1208
(212) 725-2573
(212) 725-2574
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
055305
NY
Other
Enumeration date
09/14/2011
Last updated
03/09/2016
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