SearchNew York164X00000X

Alza Johnson

NPI 1992154710 · on the registry since 2016 · sole proprietor

Practice

Address
139 Clyde Ave
Syracuse, NY 13207
Phone
(315) 200-7203

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-13

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