Johannessen, Donald J

Johannessen, Donald J is an sole proprietor health care provider with primary practice located at 425 E 79Th St Suite 1E, New York NY 10021-1037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Johannessen, Donald J can be contacted via phone (212) 249-4739.

Contact Information

Primary practice address

425 E 79Th St Suite 1E New York NY 10021-1037

Phone: (212) 249-4739

Fax: (212) 737-5574

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry	2084P0805X	173503	New York

Profile Details

NPI number	1295800142
LBN Legal business name	Johannessen, Donald J
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Nov 22nd, 2006
Last updated	Jul 8th, 2007 - about 17 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1295800142	NPPES
New York	MEDICAID	1557886

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