Individual provider · Type 1 NPI

William Dolph Johnson, P.A.

Physician Assistant · Wading River, NY

NPI number 1376757708 Active

Practice location

5968 Route 25A
Wading River, NY 11792-2001

Mailing address

16 3rd St
Coram, NY 11727-3707

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X010949 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1376757708

William Dolph Johnson, P.A.'s National Provider Identifier is 1376757708, issued on May 8, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wading River, NY. The record was last updated on Jul 8, 2007.