Johnson, Catherine Marie

Johnson, Catherine Marie is an individual health care provider with primary practice located at 59 Boniface Dr , Pine Bush NY 12566-7011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Catherine Marie can be contacted via phone (845) 744-4499.

Contact Information

Primary practice address
59 Boniface Dr Pine Bush NY 12566-7011
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F336435 New York

Profile Details

NPI number 1053611715
LBN Legal business name Johnson, Catherine Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2010
Last updated Mar 30th, 2018 - about 8 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 1053611715 NPPES
New York MEDICAID 3404377

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