JESSE T JOHNSON II

NORTH SHORE LIJ URGENT CARE PC

Dr JESSE T JOHNSON II is a male medical professional, specializing in Physician Assistant. He graduated in 2009.

Contact

NORTH SHORE LIJ URGENT CARE PC

801 BROADWAY
SUITE 100
AMITYVILLE
NY
117012206

Tel: 5167844486

JESSE T JOHNSON II Information

Npi 1003042664
Pac Id 3476609314
Professional Enrollment Id I20090918000164
Last Name JOHNSON
First Name JESSE
Middle Name T
Suffix II
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTH SHORE LIJ URGENT CARE PC
Group Practice Pac Id 6002131778
Number Of Group Practice Members 179
Line 1 Street Address 801 BROADWAY
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City AMITYVILLE
State NY
Zip Code 117012206
Phone Number 5167844486
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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