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1033645577
DONALD PETER JOHNSON
SMITHTOWN, NY
NPI
1033645577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F340365)
Enumeration Date
2017-05-03
Last Update Date
2017-05-03
Business Address
Mr. DONALD PETER JOHNSON
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787-3448
Phone number: 631-862-3000
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Mailing Address
Mr. DONALD PETER JOHNSON
19 WILLETT AVE
SAYVILLE, NY 11782-2319
Phone number: 631-576-5050
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