DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ANTONIO DEMETRIUS JOHNSON JR., A.T.,C.

Active

MR. ANTONIO DEMETRIUS JOHNSON JR., A.T.,C. is a Athletic Trainer healthcare provider located in NIAGARA FALLS, New York. NPI 1578936647 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · NIAGARA FALLS, NY

Registration Details

NPI Number
1578936647
Provider Type
Individual
Gender
Male
NPI Issued
Nov 11, 2015 (10.729995706989 yrs)
Last Updated
Nov 11, 2015
License
083043-1 (NY)

Practice Information

Address
48 A ST
NIAGARA FALLS, NY, 143032009
Browse NY providers · Browse ZIP 14303
Phone
7169903308
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in NIAGARA FALLS, NY

Name Credential NPI
MR. STEVEN ROBERT LUMLEY MSC, ATC 1023163979
JEFFREY GREEN M.S., ATC 1932517471
JUSTIN ROBERT WAAS ATC 1881082816
HENRY LUCZAK 1205296738
PAIGE ANDERSON ATC 1356798722
MICHELLE RIVERS MS, ATC, CES 1992224976
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.