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Mini Johnson
Child & Adolescent Psychiatric/Mental Health Registered Nurse in Dix Hills, New York
NPI 1710600077

Mini Johnson is a Child & Adolescent Psychiatric/Mental Health Registered Nurse based in Dix Hills, NY and is specialized in Psychiatric/Mental Health, Child & Adolescent. Mini Johnson practices in Dix Hills, NY. The NPI Number for Mini Johnson is 1710600077 and holds a License No. 781032-01 (New York).

The current practice location address for Mini Johnson is 197 Half Hollow Rd, Dix Hills, NY and can be reached out via phone at 631-370-1694.

Location: 197 Half Hollow Rd, Dix Hills, NY, 11746-5861
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710600077
Provider Name
Mini Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
197 Half Hollow Rd, Dix Hills, NY, 11746-5861
Phone Number
631-370-1694
Fax Number
Provider Enumeration Date
09/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
197 Half Hollow Rd
City
Dix Hills
State
New York
Zip
11746-5859
Phone Number
631-370-1694
Fax Number
person
Provider Business Mailing Address Details
Address
197 Half Hollow Rd
City
Dix Hills
State
New York
Zip
11746-5859
Phone Number
631-370-1694
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
163WP0807X
License No.
781032-01 (New York)
Definition
Definition to come...
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