COLLEEN JOHNSON, PA-C
Physician Assistant
Active
Individual
NPI: 1215235429
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 020304-1 (NY) |
Frequently Asked Questions
NPI 1215235429 is the National Provider Identifier for COLLEEN JOHNSON, PA-C, a Physician Assistant provider located in Port Jefferson Station, NY. This NPI was enumerated on March 11, 2011.
COLLEEN JOHNSON, PA-C practices at 11 MEDICAL DR, Port Jefferson Station, NY 11776.
Quick Facts
- NPI
- 1215235429
- Type
- Individual
- Enumerated
- Mar 11, 2011
- Last Updated
- Sep 27, 2018
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