Most Relevant Information
Provider Data
| NPI Number: | 1003265000 |
| Provider Name: | CATHERINE JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 325391-1 |
Most Important Dates
| Enumeration Date: | 06/09/2016 |
| Last Updated: | 06/09/2016 |
Provider Practice Location
202 OAKLAND AVE
CENTRAL ISLIP
NY
117222109
Practice Location Phone/Fax
| Phone: | 9175209112 |
| Fax: |
Provider Mailing Location
202 OAKLAND AVE
CENTRAL ISLIP
NY
117222109
Provider Mailing Phone/Fax
| Phone: | 9175209112 |
| Fax: |