Heather Johnson

NPI #1700461811 in Cicero, New York

Provider Information

NPI Number: 1700461811
Entity Type: Individual
Name: Heather Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Mar 10, 2021
Last Updated: Mar 10, 2021

Practice Location

Address: 6044 LAKESHORE RD
City: Cicero
State: New York
ZIP Code: 13039-8851
Phone: (315) 264-5273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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