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:
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Health care specialties

SpecialtyCodeLicense #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 9 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 1851496046 NPPES
New York MEDICAID 03627929

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