Johnson, Judy
Johnson, Judy is an sole proprietor health care provider with primary practice located at 192 Park Ave , West Harrison NY 10604-2146. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Johnson, Judy can be contacted via phone (914) 686-2225.Contact Information
Primary practice address
192 Park Ave
West Harrison NY 10604-2146
Phone: (914) 686-2225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 036316 | New York |
Profile Details
| NPI number | 1912128398 |
|---|---|
| LBN Legal business name | Johnson, Judy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912128398 | NPPES |
| New York | MEDICAID | 00715059 |
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