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Search › New York › 363A00000X

Colleen Johnson, PA-C

NPI 1215235429 · on the registry since 2011

Practice

Address
11 Medical Dr
Port Jefferson Station, NY 11776
Phone
(631) 509-6066
Organisation at this address
Gregory J Diehl Md Pc
11 Medical Drive Wellness Pllc
Holistic Medical Wellness, Pllc
Port Jefferson Medical Care Wellness Pllc
Ht Medical Health Of Port Jefferson Station Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-27

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