Individual
DR. DEREK C. JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
327 BEACH 19TH ST, DEPARTMENT OF REHABILITATION MEDICINE, FAR ROCKAWAY, NY 11691-4423
(718) 869-7000
Mailing address
327 BEACH 19TH ST, DEPARTMENT OF REHABILITATION MEDICINE, FAR ROCKAWAY, NY 11691-4423
(718) 869-7000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
253376
NY
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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