Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAUN JOHNSON
Active Sole ProprietorSHAUN JOHNSON is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in VALLEY STREAM, New York. NPI 1427224369 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · VALLEY STREAM, NY
Registration Details
- NPI Number
- 1427224369
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2008 (18.328414661824 yrs)
- Last Updated
- Apr 30, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
14 IVANHOE PLVALLEY STREAM, NY, 115802902Browse NY providers · Browse ZIP 11580
- Phone
- 9179753906
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.