Johnson, Richard W

Johnson, Richard W is an individual health care provider with primary practice located at 9525 Queens Blvd 2Nd Fl Neurosurgery Dept, Rego Park NY 11374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Johnson, Richard W can be contacted via phone (718) 459-7700.

Contact Information

Primary practice address
9525 Queens Blvd 2Nd Fl Neurosurgery Dept Rego Park NY 11374
Phone: (718) 459-7700
Fax: (718) 286-1140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 180402 New York

Profile Details

NPI number 1356495782
LBN Legal business name Johnson, Richard W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 29th, 2022 - about 3 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

StateTypeNumberIssuer
All States NPI 1356495782 NPPES
New York MEDICAID 01514929

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