PORTIA JOHNSON

BINGHAMTON, NY
NPI1164070793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  402707)
Enumeration Date2019-08-27
Last Update Date2019-08-27
Business Address
PORTIA JOHNSON NP
4400 VESTAL PKWY E
BINGHAMTON, NY 13902-4400
Phone number: 607-777-3711
Mailing Address
PORTIA JOHNSON NP
3 CLUBHOUSE RD
BINGHAMTON, NY 13903-1208
Phone number: 607-727-7772