Organization
FORWARD NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MICHAEL JOHNSON M.D. (PRESIDENT)
(347) 756-1552
Entity
Organization
Contact information
Practice address
164 E 61ST ST, SUITE 1A, NEW YORK, NY 10065-8539
(347) 756-1552
Mailing address
164 E 61ST ST, SUITE 1A, NEW YORK, NY 10065-8539
(347) 756-1552
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
248684
NY
Other
Enumeration date
02/19/2011
Last updated
02/19/2011
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