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

MRS. DORETT J JOHNSON-AGU, MSC. EDUCATION

Active Sole Proprietor

MRS. DORETT J JOHNSON-AGU, MSC. EDUCATION is a Specialist healthcare provider located in SOUTH FLORAL PARK, New York. NPI 1932462462 is currently active in the NPPES registry. Verify at CMS.

Specialist · SOUTH FLORAL PARK, NY

Registration Details

NPI Number
1932462462
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2012 (14.156722090517 yrs)
Last Updated
Jun 19, 2012
License
8440 (NY)
Sole Proprietor
Yes

Practice Information

Address
151 MEMPHIS AVE
SOUTH FLORAL PARK, NY, 110013548
Browse NY providers · Browse ZIP 11001
Phone
5163807318
Primary Specialty
Specialist
174400000X

Other Specialist Providers in SOUTH FLORAL PARK, NY

Name Credential NPI
REHANNA NARESSA LALL 1316770449
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.