Individual provider · Type 1 NPI

Suman P. Johnson, PHYSICIAN ASSITANT

Medical Physician Assistant · Mineola, NY

NPI number 1295080778 Active

Practice location

259 1st St
Mineola, NY 11501-3957

Call (516) 663-8312 Map

Mailing address

27005 76th Ave
New Hyde Park, NY 11040-1402

Other practice locations

  • 27005 76th Ave, New Hyde Park, NY 11040-1402 · (516) 470-7000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X015591-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1295080778

Suman P. Johnson, PHYSICIAN ASSITANT's National Provider Identifier is 1295080778, issued on Jul 19, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mineola, NY. The record was last updated on Aug 29, 2022.