Individual
MRS. BRENDA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
60 HAVEN AVE, LOBBY LEVEL, NEW YORK, NY 10032-2604
(212) 342-4763
(212) 342-3955
Mailing address
1379 NOSTRAND AVE APT 3F, BROOKLYN, NY 11226-2579
(212) 305-3400
(212) 342-3955
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
214493
NY
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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