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Contact Information

PRESTON D TOTESAU JOHNSON, PA
66 FLETCHER AVE
VALLEY STREAM, NY11580-4024
 Phone: 917-216-1142
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PRESTON D TOTESAU JOHNSON · (Male)

NPI Number 1053617324
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/04/2011
Last updated 02/04/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 014007
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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