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Contact Information

ERIC R JOHNSON, MD
59 WEST AVE
BROCKPORT, NY14420
 Phone: 585-637-6120
 Fax: 585-637-4772
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ERIC R JOHNSON · (Male)

NPI Number 1770546277
Status Active
Credentials MD
Entity Individual
Enumeration date 04/07/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 180005
  • NY Medicaid 01414933
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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