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NPI Code Detail

MEDICARE: MADISON JOHNSON

MEDICARE: MADISON JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1760321244
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON JOHNSON
Provider Business Mailing Address
First Line : 1850 BRIGHTON HENRIETTA TOWN LINE RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14623-2532
Country : US
Telephone Number : 585-287-5622
Fax Number :
Provider Business Practice Location Address
First Line : 1850 BRIGHTON HENRIETTA TOWN LINE RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14623-2532
Country : US
Telephone Number : 585-287-5622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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Directions to “ MADISON JOHNSON ” Practice Location

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