| Stephanie Johnson, PA | |
|
5046 Betsy Ross Way, Liverpool, NY 13088-5933 | |
| (315) 956-0900 | |
| Not Available |
| Full Name | Stephanie Johnson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 5046 Betsy Ross Way, Liverpool, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104135052 | NPI | - | NPPES |
| 03537042 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4777 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 9108630 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 014259 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Johnson, PA 5046 Betsy Ross Way, Liverpool, NY 13088-5933 Ph: (315) 956-0900 | Stephanie Johnson, PA 5046 Betsy Ross Way, Liverpool, NY 13088-5933 Ph: (315) 956-0900 |
Meriem Djouini, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 7335 Morgan Rd, Liverpool, NY 13090 Phone: 315-572-0731 | |
Jacob Mir, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7375 Oswego Rd, Liverpool, NY 13090 Phone: 315-291-0064 | |
Bethany Sly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-457-9854 | |
Matthew Romano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5112 W Taft Rd, Suite H, Liverpool, NY 13088 Phone: 315-452-3235 Fax: 315-471-0749 | |
Debra A Wolf, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4828 W Taft Rd, Suite 215, Liverpool, NY 13088 Phone: 315-413-0004 Fax: 315-413-0828 | |
Judy A Diliberto, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5112 W Taft Rd, Suite H, Liverpool, NY 13088 Phone: 315-452-3235 Fax: 315-452-5726 |