MR. David Johnson

NPI #1902115595 in Freeport, New York

Provider Information

NPI Number: 1902115595
Entity Type: Individual
Name: MR. David Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Sep 29, 2010
Last Updated: Sep 29, 2010

Practice Location

Address: 939 S LONG BEACH AVE
City: Freeport
State: New York
ZIP Code: 11520-6306
Phone: (516) 547-2357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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