| Maria Johnson | |
|
430 W Merrick Rd Suite 25 Valley Stream NY 11580-5201 | |
| (516) 451-1258 | |
| (516) 285-1616 |
| Full Name | Maria Johnson |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 430 W Merrick Rd, Valley Stream, New York |
| Authorized Official Name and Position | Maria G. Johnson (PRESIDENT) |
| Authorized Official Contact | 5164511258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Johnson 671 Bauer Ct Elmont NY 11003-4312 Ph: (516) 451-1258 | Maria Johnson 430 W Merrick Rd Suite 25 Valley Stream NY 11580-5201 Ph: (516) 451-1258 |
| NPI Number | 1013354026 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 11/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013354026 | NPI | - | NPPES |
| 8118596 | Other | NY | STATE OF NEW YORK REGISTRATION CERTIFICATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 080480 (New York) | Primary |
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