Doctor Name: | SARA J JOHNSON |
NPI Number: | 1043206964 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 133527 |
Business Practice Address: | 315 E Middle Country Rd Smithtown, NY - 117872829 |
Business Phone Number: | 6313607778 |
Business Fax Number: | 6313601546 |
Mailing Address: | 315 Middle Country Rd, SMITHTOWN |
State: | NY |
Postal Code: | 117872817 |
Phone Number: | 6316567161 |
Fax Number: | 6313601546 |
NPI Enumeration Date: | 09/26/2005 |
NPI Last Update Date: | 05/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RR0500X |
License Number: | 133527 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Rheumatology |
Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |