Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 227496 | NY |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 231141 | MA |
NPI | 1801949649 |
---|---|
Provider Name | Dr. Anne Holland Johnson |
First Address | New York, NY 10087-9234 |
Second Address | New York, NY 10021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 22/12/2020 |