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Individual

YUFANG KU JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
98 FOREST HILL DR, KINGSTON, NY 12401-7411
(845) 475-4062
Mailing address
98 FOREST HILL DR, KINGSTON, NY 12401-7411

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F431055
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F431055
NY

Other

Enumeration date
10/26/2016
Last updated
09/21/2020
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