Individual
DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 741-2460
(718) 654-6692
Mailing address
152 BARHAM AVE, APT 2, QUINCY, MA 02170-1100
(321) 402-4412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
304476
NY
Other
Enumeration date
04/08/2017
Last updated
08/29/2023
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