Individual
DR. JOHN EDWARD JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.,L.AC.
Contact information
Practice address
75 UNION AVE, AMITYVILLE, NY 11701
(631) 691-3557
Mailing address
75 UNION AVE, AMITYVILLE, NY 11701
(631) 691-3557
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X002515
NY
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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