MRS. Tina Johnson, SPECIAL EDUCATION

NPI #1417355454 in Lynbrook, New York

Provider Information

NPI Number: 1417355454
Entity Type: Individual
Name: MRS. Tina Johnson, SPECIAL EDUCATION
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: SPECIAL EDUCATION
Enumeration Date: Dec 8, 2014
Last Updated: Dec 8, 2014

Practice Location

Address: 4 WINDSOR PL
City: Lynbrook
State: New York
ZIP Code: 11563-3724
Phone: (516) 512-0335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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