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1164070793
PORTIA JOHNSON
BINGHAMTON, NY
NPI
1164070793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 402707)
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
PORTIA JOHNSON NP
4400 VESTAL PKWY E
BINGHAMTON, NY 13902-4400
Phone number: 607-777-3711
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Mailing Address
PORTIA JOHNSON NP
3 CLUBHOUSE RD
BINGHAMTON, NY 13903-1208
Phone number: 607-727-7772
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