MISS ALICE VICTORIA JOHNSON


Address: 355 E 88th St, Apt 2d, New York, NY 10128-4904
Phone: 2484702065

MISS ALICE VICTORIA JOHNSON (NPI# 1639520273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639520273
Entity Type Individual
Full Name MISS ALICE VICTORIA JOHNSON
Credential CPNP
Practice Address 355 E 88th St
Apt 2d
New York
NY 10128-4904
Practice Telephone 2484702065
Mailing Telephone 2484702065
Enumeration Date 2016-06-24
Last Update Date 2017-03-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 700935 NY Nursing Service Providers
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
382724 NY Physician Assistants & Advanced Practice Nursing Providers

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1124343892 Alice Hoang Johnson Internal Medicine 3 Audubon Plaza Dr, Ll-2, Louisville, KY 40217-1300 2010-04-06

Office Location

Street Address 355 E 88TH ST
APT 2D
City NEW YORK
State NY
Zip Code 10128-4904

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1811539638 Baron Shieh Physical Therapist 1844 Second Ave, New York, NY 10128 2019-10-14
1720641335 Michael Gary Rothenberg Psychologist 5 East 94th Street, New York, NY 10128 2019-04-18
1275003865 Desiree Caban Psychoanalyst 1449 Lexington Ave 4b1 East, New York, NY 10128 2018-11-27
1326514191 Yjk Anesthesia LLC Anesthesiology 403 East 91st, New York, NY 10128 2018-10-19
1619454568 Arthur Jenkins Md LLC Neurological Surgery 65 Eat 96th Street, Suite 1b, New York, NY 10128 2018-07-24
1285120832 Eric Axel Gerdner Social Worker 309 E 94th St Fl 4, New York, NY 10128 2018-07-06
1003317694 Max I Bolotin Psychologist 49 East 96 Street Apt 12d, New York, NY 10128 2018-02-28
1518471465 Elyse Palumbo Social Worker 305 East 92nd Street, New York, NY 10128 2017-11-29
1720505282 Arlene Kramer Richards Psychologist 200 East89 Street, 45bc, New York, NY 10128 2017-08-25
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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1508400482 Katherine Jane Ponsoldt Nurse Practitioner 529 Broome St Apt 20, New York, NY 10013-6404 2019-11-04
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1922368943 Nancy De Guzman Nurse Practitioner 160 E 32nd St Suite L3-medical, New York, NY 10016-6004 2012-05-23
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Competitor

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City NEW YORK
Zip Code 10128

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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