Individual
CAROLE LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2735 HENRY HUDSON PKWY W, BRONX, NY 10463-4701
(718) 884-0444
Mailing address
10 PARK TER E APT 2L, NEW YORK, NY 10034-1521
(212) 567-2547
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002022-1
NY
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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