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NPI Code Detail

MEDICARE: MRS. EMILY CONRAD JOHNSTON RPA-C

MEDICARE: MRS. EMILY CONRAD JOHNSTON RPA-C
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
1363AM0700XMedical Physician Assistant009134NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821271784
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EMILY CONRAD JOHNSTON RPA-C
Provider Business Mailing Address
First Line : 100 KINGS HWY S
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1550 EMPIRE BLVD
Second Line :
City : WEBSTER
State : NY
Zip : 14580-2104
Country : US
Telephone Number : 585-922-2214
Fax Number : 585-922-2388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2007
Last Update Date : 02/02/2026

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