Johnson, Charmaine S

Johnson, Charmaine S is an individual health care provider with primary practice located at 260 W Sunrise Hwy Suite 200, Valley Stream NY 11581-1011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Charmaine S can be contacted via phone (516) 825-3600.

Contact Information

Primary practice address
260 W Sunrise Hwy Suite 200 Valley Stream NY 11581-1011
Phone: (516) 825-3600
Fax: (516) 823-2051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2337611 New York

Profile Details

NPI number 1366492183
LBN Legal business name Johnson, Charmaine S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Sep 13th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366492183 NPPES
New York MEDICAID 02661714

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