Individual
DR. JUDY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
192 PARK AVE, WEST HARRISON, NY 10604-2146
(914) 686-2225
Mailing address
192 PARK AVE, WEST HARRISON, NY 10604-2146
(914) 686-2225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036316
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00715059
—
NY
Enumeration date
05/01/2007
Last updated
07/09/2007
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