Individual
DR. ARLENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
56 MARYS LN, CENTERPORT, NY 11721-1118
(631) 757-4791
Mailing address
56 MARYS LN, CENTERPORT, NY 11721-1118
(631) 757-4791
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
107618
NY
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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