Shaun Johnson

NPI 1427224369 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1427224369
Gender Male
Enumeration Date 04/30/2008
Last Updated 04/30/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
14 IVANHOE PL
VALLEY STREAM NY, 11580-2902, US
Phone (917) 975-3906
Fax
Business Location
14 IVANHOE PL
VALLEY STREAM NY, 11580-2902, US
Phone (917) 975-3906
Fax
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, Shaun Johnson NPI is 1427224369, taxonomy code is 320600000X Shaun Johnson physically located at 14 Ivanhoe Pl, Valley Stream NY, 11580-2902. NPI Number Shaun Johnson has the Individual type.

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1427224369 NPI number is provided on an as is basis without warranty of any kind. 1427224369 is maintained by the National Plan & Provider Enumeration System. The contents of Shaun Johnson are for informational purposes only.