MARY ELLEN JOHNSON

HALFMOON, NY
NPI1831825686
Former NameMARY ELLEN PASSINEAU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  349935)
Enumeration Date2022-07-25
Last Update Date2023-09-20
Business Address
MARY ELLEN JOHNSON FNP-BC
1783 ROUTE 9 STE 102
HALFMOON, NY 12065-2467
Phone number: 518-383-4198
Mailing Address
MARY ELLEN JOHNSON FNP-BC
711 TROY SCHENECTADY RD STE 203
LATHAM, NY 12110-2461
Phone number: 518-782-3700
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