Johnson, Tina M
Johnson, Tina M is an individual health care provider with primary practice located at 1 Court Sq Wk Stn 20-089, Long Island City NY 11120-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Johnson, Tina M can be contacted via phone (347) 957-1252.Contact Information
Primary practice address
1 Court Sq Wk Stn 20-089
Long Island City NY 11120-0001
Phone: (347) 957-1252
Fax: (347) 396-4360
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F334061 | New York |
Profile Details
NPI number | 1851496046 |
---|---|
LBN Legal business name | Johnson, Tina M |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 13th, 2006 |
Last updated | Mar 23rd, 2017 - about 7 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 | 1851496046 | NPPES |
New York | MEDICAID | 03627929 |
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