Johnson, Valerie L

Johnson, Valerie L is an individual health care provider with primary practice located at 428 E 72Nd St Ofc 100 , New York NY 10021-4635. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Johnson, Valerie L can be contacted via phone (212) 746-3260.

Contact Information

Primary practice address
428 E 72Nd St Ofc 100 New York NY 10021-4635
Fax: (212) 746-3988
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 137315 New York
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 137315 New York

Profile Details

NPI number 1033207311
LBN Legal business name Johnson, Valerie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Sep 19th, 2011 - about 13 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 1033207311 NPPES
New York MEDICAID 00845661

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