KEVIN JOHNSON

SYRACUSE, NY
NPI1396155511
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084A0401X Psychiatry & Neurology, Addiction Medicine
(Licence: NY  294176)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY  294176)
Enumeration Date2014-04-28
Last Update Date2021-03-12
Business Address
KEVIN JOHNSON
475 IRVING AVE STE 418
SYRACUSE, NY 13210-1573
Phone number: 315-218-5303
Mailing Address
KEVIN JOHNSON
1001 W FAYETTE ST STE 400
SYRACUSE, NY 13204-2866
Phone number: 937-343-3315