Individual
ERIC JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1000
Mailing address
170 STATESVILLE QUARRY RD, LAFAYETTE, NJ 07848-3129
(304) 237-8511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/21/2023
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