Individual
MS. CAROL P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23915 148TH AVE, ROSEDALE, NY 11422-3260
(718) 600-6409
Mailing address
23915 148TH AVE, ROSEDALE, NY 11422-3260
(718) 600-6409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
600887
NY
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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