National Provider Identifier
Michael Maurice Johnson, PEER SPECIALIST
Michael Maurice Johnson, PEER SPECIALIST is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Cheektowaga, NY and a listed phone number of (716) 895-6700.
Profile Overview
- NPI
- 1255119921
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- September 15, 2023
- Last Updated
- September 15, 2023
Practice Location
- 3830 Union RD
- Cheektowaga, NY 14225-4212
Phone: (716) 895-6700
Mailing Address
- 131 Locust St Apt 2
- Lockport, NY 14094-4573
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1255119921
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Michael
- Middle Name
- Maurice
- Credential
- PEER SPECIALIST
- Mailing Street Address
- 131 Locust St Apt 2
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-4573
- Mailing Country
- US
- Mailing Phone
- (716) 370-4666
- Mailing Fax
- (716) 201-1655
- Practice Street Address
- 3830 Union RD
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-4212
- Practice Country
- US
- Practice Phone
- (716) 895-6700
- Enumeration Date
- September 15, 2023
- Last Updated
- September 15, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 15, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)