Individual
ROBERT LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 MARCY AVE APT 2P, BROOKLYN, NY 11206-6446
(718) 603-0811
Mailing address
620 MARCY AVE APT 2P, BROOKLYN, NY 11206-6446
(718) 603-0811
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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