Individual provider · Type 1 NPI

Jesse Thomas Johnson Ii, PA

Medical Physician Assistant · Brooklyn, NY

NPI number 1003042664 Active

Practice location

3201 Kings Hwy
Brooklyn, NY 11234-2625

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X013190 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1003042664

Jesse Thomas Johnson Ii, PA's National Provider Identifier is 1003042664, issued on Jun 9, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 19, 2016.