Individual
MS. PONZELLA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
160 E 100TH ST, NEW YORK, NY 10029-6271
(212) 864-2400
Mailing address
160 E 100TH ST, NEW YORK, NY 10029-6271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
422147
NY
163WS0200X
School Registered Nurse
Primary
422147
NY
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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