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Nicole Johnson
NPI 1659664571 · on the registry since 2011 · sole proprietor
Practice
- Address
- 160 Wallace Way Bldg 9
Rochester, NY 14624 - Phone
- (585) 617-2314
- Clinicians at this address
- 22
Additional practice sites
- 41 Oconnor Rd, Fairport, NY
- 182 Queensland Dr, Spencerport, NY
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- VA, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-07
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