Michael Johnson

NPI #1295354496 in Cortland, New York

Provider Information

NPI Number
1295354496
Entity Type
Individual
Name
Michael Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Peer Specialist
Enumeration Date
Apr 9, 2020
Last Updated
Apr 9, 2020

Practice Location

Address
165 MAIN ST
Address 2
STE A
ZIP Code
13045-3049
Phone
(607) 753-0234

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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