Johnson, Celeste

Johnson, Celeste is an individual health care provider with primary practice located at 151 Sammis Ave , Deer Park NY 11729-6719. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Celeste can be contacted via phone (917) 664-9932.

Contact Information

Primary practice address
151 Sammis Ave Deer Park NY 11729-6719
Phone: (917) 664-9932
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ01084700 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 343925 New York

Profile Details

NPI number 1164996039
LBN Legal business name Johnson, Celeste
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2019
Last updated Feb 16th, 2024 - about 9 months 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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