Individual
MISS TINA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 COURT SQ, WK STN 20-089, LONG ISLAND CITY, NY 11120-0001
(347) 957-1252
(347) 396-4360
Mailing address
1 COURT SQ, WK STN 20-089, LONG ISLAND CITY, NY 11120-0001
(347) 957-1252
(347) 396-4360
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F334061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03627929
—
NY
Enumeration date
09/13/2006
Last updated
03/23/2017
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