Individual
MS. TONYA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
7151 260TH ST, 2, GLEN OAKS, NY 11004-1120
(917) 941-4672
Mailing address
7151 260TH ST, GLEN OAKS, NY 11004-1120
(718) 343-1663
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
802418
NY
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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