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1760839831
STACEY JOHNSON
NEW YORK, NY
NPI
1760839831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F338287-1)
Enumeration Date
2016-05-19
Last Update Date
2016-05-19
Business Address
-- STACEY JOHNSON FNP
301 E 17TH ST
NEW YORK, NY 10003-3804
Phone number: 212-598-6000
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Mailing Address
-- STACEY JOHNSON FNP
32 FIRETHORNE LN
VALLEY STREAM, NY 11581-1754
Phone number: 646-299-3959
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