Individual
CORY JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 N CORPORATE DR, RIVERDALE, NJ 07457-1715
(862) 200-5848
Mailing address
6 N CORPORATE DR, RIVERDALE, NJ 07457-1715
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1435894
NY
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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