KERRY LYNN JOHNSON

PORT JEFFERSON, NY
NPI1558665414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  014438)
Enumeration Date2011-01-06
Last Update Date2019-07-16
Business Address
Miss KERRY LYNN JOHNSON PA
635 BELLE TERRE RD SUITE 204
PORT JEFFERSON, NY 11777-1935
Phone number: 631-474-0008
Mailing Address
Miss KERRY LYNN JOHNSON PA
300 W 72ND ST APT 1D
NEW YORK, NY 10023-2661
Phone number: 631-944-5923