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Vincy Johnson, AGACNP

NPI 1366096745 · on the registry since 2019

Practice

Address
301 E Main St
Bay Shore, NY 11706
Phone
(631) 968-3000
Fax
(631) 968-3813
Organisation at this address
Southside Hospital
Southside Hospital
Nslij Southside Hospital
Jeffrey Wanerman Md Pllc
New York Pain Consultants, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
519

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363LA2100X
363LA2100X
Licence states on file
NY, NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York