Dr QUENTIN WANDYKE JOHNSON is a male medical professional, specializing in Family Medicine. He graduated in 2008.
FAXTON - ST LUKES HEALTHCARE
1656 CHAMPLIN AVE
NEW HARTFORD
NY
134131068
Tel: 3156246000
| Npi | 1124257886 |
| Pac Id | 7618129115 |
| Professional Enrollment Id | I20190108003383 |
| Last Name | JOHNSON |
| First Name | QUENTIN |
| Middle Name | WANDYKE |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | FAXTON - ST LUKES HEALTHCARE |
| Group Practice Pac Id | 2769380252 |
| Number Of Group Practice Members | 150 |
| Line 1 Street Address | 1656 CHAMPLIN AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NEW HARTFORD |
| State | NY |
| Zip Code | 134131068 |
| Phone Number | 3156246000 |
| Hospital Affiliation Ccn 1 | 330044 |
| Hospital Affiliation Lbn 1 | FAXTON-ST LUKE'S HEALTHCARE |
| Hospital Affiliation Ccn 2 | 330245 |
| Hospital Affiliation Lbn 2 | ST ELIZABETH MEDICAL CENTER |
| 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 |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.