Heidi Johnson, MSED
NPI #1942565452 in Kew Gardens, New York
Provider Information
- NPI Number
- 1942565452
- Entity Type
- Individual
- Name
- Heidi Johnson, MSED
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- MSED
- Enumeration Date
- Jul 10, 2012
- Last Updated
- Jul 10, 2012
Practice Location
- Address
- 11860 METROPOLITAN AVE
- Address 2
- 3C
- City
- Kew Gardens
- State
- New York
- ZIP Code
- 11415-2029
- Phone
- (917) 517-9265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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