Search › New York › 163W00000X
Jithin Johnson
NPI 1861225658 · on the registry since 2024 · sole proprietor
Practice
- Address
- 10201 66th Rd
Flushing, NY 11375 - Phone
- (718) 830-4000
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-26
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