National Provider Identifier
Holly Renee Johnson, MD
Holly Renee Johnson, MD is listed in the NPPES registry with a primary specialty of Surgery Physician in Buffalo, NY and a listed phone number of (716) 898-6515.
Profile Overview
- NPI
- 1356963623
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- May 10, 2020
- Last Updated
- June 27, 2025
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-6515
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1356963623
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Holly
- Middle Name
- Renee
- Credential
- MD
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Mailing Phone
- (716) 898-6515
- Mailing Fax
- (716) 898-3194
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-6515
- Practice Fax
- (716) 898-3194
- Enumeration Date
- May 10, 2020
- Last Updated
- June 27, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 27, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)