Individual
ANDREA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SHERMAN ST, SUITE 2100, JAMESTOWN, NY 14701-7080
(716) 665-4720
Mailing address
17 SHERMAN ST, SUITE 2100, JAMESTOWN, NY 14701-7080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
175795
NY
Other
Enumeration date
07/18/2006
Last updated
01/25/2024
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