Johnson, Vivian Tina

Johnson, Vivian Tina is an sole proprietor health care provider with primary practice located at 538 Rt 25A Suite 5, Rocky Point NY 11778-9089. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Johnson, Vivian Tina can be contacted via phone (631) 891-7316.

Contact Information

Primary practice address
538 Rt 25A Suite 5 Rocky Point NY 11778-9089
Phone: (631) 891-7316
Fax: (631) 821-3016
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X F400187-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F-400187-1 New York

Profile Details

NPI number 1811127038
LBN Legal business name Johnson, Vivian Tina
Credentials RN, NPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2009
Last updated Jan 5th, 2012 - about 12 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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