Individual
CYNTHIA JOHNSON-MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115-52 INWOOD STREET, JAMAICA, NY 11436
(347) 456-0186
Mailing address
11552 INWOOD ST, JAMAICA, NY 11436-1145
(347) 456-0186
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
47-3298670
NY
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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