Jaime Lynn Johnson

NPI 1003170945 - Specialist - 174400000X

NPI Details
NPI 1003170945
Gender Female
Enumeration Date 06/26/2012
Last Updated 06/26/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
2510 WESTCHESTER AVE STE 102
BRONX NY, 10461-3512, US
Phone (718) 597-5558
Fax
Business Location
2510 WESTCHESTER AVE STE 102
BRONX NY, 10461-3512, US
Phone (718) 597-5558
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 624934051
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According to our database, Mrs. Jaime Lynn Johnson NPI is 1003170945, taxonomy code is 174400000X and license number is 624934051, license state is located at New York. Jaime Lynn Johnson physically located at 2510 Westchester Ave Ste 102, Bronx NY, 10461-3512. NPI Number Jaime Lynn Johnson has the Individual type.

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1003170945 NPI number is provided on an as is basis without warranty of any kind. 1003170945 is maintained by the National Plan & Provider Enumeration System. The contents of Jaime Lynn Johnson are for informational purposes only.