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NPI Code Detail

MEDICARE: MR. ANTHONY WHITNEY JOHNSON LAC

MEDICARE: MR. ANTHONY WHITNEY JOHNSON LAC
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
1171100000XAcupuncturist003096NY

General Provider Information

NPI Number : 1669663126
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTHONY WHITNEY JOHNSON LAC
Provider Business Mailing Address
First Line : 22 W 21ST ST
Second Line : SUITE 1203
City : NEW YORK
State : NY
Zip : 10010-6904
Country : US
Telephone Number : 646-827-1325
Fax Number :
Provider Business Practice Location Address
First Line : 22 W 21ST ST
Second Line : SUITE 1203
City : NEW YORK
State : NY
Zip : 10010-6904
Country : US
Telephone Number : 646-827-1325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2007
Last Update Date : 08/08/2007

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Directions to “ MR. ANTHONY WHITNEY JOHNSON LAC” Practice Location

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