Individual
MRS. BARBARA VAIATICA LUNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP-BC
Contact information
Practice address
124 MAIN STREET, SUITE 10, HUNTINGTON, NY 11743-6922
(631) 629-4770
(631) 629-4772
Mailing address
17 NEW MILL RD, SMITHTOWN, NY 11787-3323
(516) 384-6597
(631) 629-4772
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305180-1
NY
Other
Enumeration date
06/15/2011
Last updated
04/11/2016
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