KEVIN JOHNSON

MINEOLA, NY
NPI1770240152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  027051)
Enumeration Date2021-11-20
Last Update Date2021-11-20
Business Address
KEVIN JOHNSON
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-0333
Mailing Address
KEVIN JOHNSON
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-0333
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