Search › New York › 172V00000X
Detric Johnson
NPI 1568958890 · on the registry since 2018
Practice
- Address
- 535 Wyoming Ave Ste 1
Buffalo, NY 14215 - Phone
- (716) 253-1847
- Fax
- (716) 845-3511
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-06
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