Individual provider · Type 1 NPI

Leisa T. Johnson

Specialist · Forest Hills, NY

NPI number 1386106573 Active

Practice location

10818 Queens Blvd Fl 5
Forest Hills, NY 11375-4748

Call (212) 804-7659 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1219043 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386106573

Leisa T. Johnson's National Provider Identifier is 1386106573, issued on Apr 5, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Forest Hills, NY. The record was last updated on Apr 5, 2019.