Individual
CORRI JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 HUSKIE LN, MALONE, NY 12953-2450
(518) 483-5230
Mailing address
1 MARION ST, MALONE, NY 12953-1403
(518) 483-7050
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
467190
NY
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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