National Provider Identifier
Drew Johnson
Drew Johnson is listed in the NPPES registry with a primary specialty of Athletic Trainer in Alden, NY and a listed phone number of (716) 512-2099.
Profile Overview
- NPI
- 1013543784
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- March 13, 2020
- Last Updated
- March 13, 2020
Practice Location
- 13005 Clinton St
- Alden, NY 14004-9433
Phone: (716) 512-2099
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1013543784
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Drew
- Mailing Street Address
- 13005 Clinton St
- Mailing City
- Alden
- Mailing State
- NY
- Mailing ZIP Code
- 14004-9433
- Mailing Country
- US
- Mailing Phone
- (716) 512-2099
- Practice Street Address
- 13005 Clinton St
- Practice City
- Alden
- Practice State
- NY
- Practice ZIP Code
- 14004-9433
- Practice Country
- US
- Practice Phone
- (716) 512-2099
- Enumeration Date
- March 13, 2020
- Last Updated
- March 13, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 13, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)