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1194580175
SAMANTHA P JOHNSON
BROOKLYN, NY
NPI
1194580175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F405201-01)
Enumeration Date
2024-02-19
Last Update Date
2024-03-26
Business Address
SAMANTHA P JOHNSON NP
8620 18TH AVE
BROOKLYN, NY 11214-3702
Phone number: 718-256-8818
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Mailing Address
SAMANTHA P JOHNSON NP
1000 TARGEE ST APT 3Q
STATEN ISLAND, NY 10304-4466
Phone number: 330-390-0840
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