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1093357840
STANLEY JOHNSON
NEW HYDE PARK, NY
NPI
1093357840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NY 024264)
Enumeration Date
2019-10-14
Last Update Date
2019-11-07
Business Address
STANLEY JOHNSON PA-C
27005 76TH AVE
NEW HYDE PARK, NY 11040-1402
Phone number: 718-470-7000
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Mailing Address
STANLEY JOHNSON PA-C
594 HEATHCOTE RD
LINDENHURST, NY 11757-1822
Phone number: 631-988-0602
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