SearchNew York101YA0400X

Mitchell Johnson, CASAC

NPI 1326356452 · on the registry since 2010 · sole proprietor

Practice

Address
1776 Clay Ave
Bronx, NY 10457
Phone
(347) 603-5934
Organisation at this address
Basics/Promesa Systems Inc.,
Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc
Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc
Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc
Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-09-23

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