| Johnson & Park Healthy Choice Llc | |
|
142-25 37th Ave., #c3 Flushing NY 11354-6530 | |
| (718) 359-3777 | |
| Not Available |
| Full Name | Johnson & Park Healthy Choice Llc |
|---|---|
| Speciality | General Practice |
| Location | 142-25 37th Ave., #c3, Flushing, New York |
| Authorized Official Name and Position | Tracey Johnson (M.D.) |
| Authorized Official Contact | 7183593777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson & Park Healthy Choice Llc 142-25 37th Ave., #c3 Flushing NY 11354-6530 Ph: () - | Johnson & Park Healthy Choice Llc 142-25 37th Ave., #c3 Flushing NY 11354-6530 Ph: (718) 359-3777 |
| NPI Number | 1326343468 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 01/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326343468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 258418 (New York) | Primary |
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