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Contact Information

MICHELLE M JOHNSTON, MD
1656 CHAMPLIN AVE
UTICA, NY13502
 Phone: 315-624-6241
 Fax: 315-624-6395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for MICHELLE M JOHNSTON · (Female)

NPI Number 1477540771
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2005
Last updated 12/20/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 219360
  • NY Medicaid 02192381
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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