Individual
MR. DAVID JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
939 S LONG BEACH AVE, FREEPORT, NY 11520-6306
(516) 547-2357
Mailing address
939 S LONG BEACH AVE, FREEPORT, NY 11520-6306
(516) 547-2357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004565-1
NY
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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