Vincy Maria Johnson, AGACNP
Nurse Practitioner in Bay Shore, NY. Individual provider (NPI-1).
NPI number1366096745
StatusActive
Last updated in NPPESJul 24, 2019
Details
- NPI
- 1366096745
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Vincy Maria Johnson
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2019
- Last updated
- Jul 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | F431550-01 | NY | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | F431550-01 | NY | |
| 363LA2100X | Nurse Practitioner, Acute Care | F431550-01 | NJ |
Other names
- Vincy Maria Kizhakkeparambil Joseph (Former Name)
Practice location
301 E Main StBay Shore, NY 11706-8458
Phone 631-968-3000 · Fax 631-968-3813
Mailing address
301 E Main StBay Shore, NY 11706-8458
Phone 631-968-3000 · Fax 631-968-3813
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All 8 Nurse Practitioner providers in Bay Shore · All 2,254 providers in Bay Shore
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