SearchNew York101Y00000X

Nicole Johnson, BS

NPI 1194395202 · on the registry since 2021 · sole proprietor

Practice

Address
14736 94th Ave Apt 10n
Jamaica, NY 11435
Phone
(718) 374-4579
Organisation at this address
Clock That Corp
Vista Enclave Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Female
Record last updated
2021-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York