Individual
MRS. ALEXANDRA ANNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
Mailing address
41 RUSCO ST, HUNTINGTON, NY 11743
(631) 547-8891
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306002-1
NY
Other
Enumeration date
11/07/2012
Last updated
11/15/2012
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