Individual
CAREN DINA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 WICKHAM AVE, GOSHEN, NY 10924-1819
(845) 820-2816
Mailing address
14 WICKHAM AVE, GOSHEN, NY 10924-1819
(845) 820-2816
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
006768-1
NY
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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