Individual
DR. JARA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1425 PORTLAND AVE, SUITE 204, ROCHESTER, NY 14621-3001
(585) 922-4698
(585) 922-5702
Mailing address
41 ROSSITER RD, ROCHESTER, NY 14620-4125
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
257920-1
NY
Other
Enumeration date
03/22/2007
Last updated
07/12/2013
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