National Provider Identifier

Randi L Johnson, PA

Randi L Johnson, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 341-6880.

NPI 1700122355Rochester, NYPhysician Assistant

Profile Overview

NPI
1700122355
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
December 28, 2012
Last Updated
March 04, 2013

Practice Location

  • 1000 South Ave
  • Rochester, NY 14620-2733

Phone: (585) 341-6880

Mailing Address

  • 601 Elmwood Ave
  • Box 655
  • Rochester, NY 14642-8655

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1700122355
Entity Type
Individual
Last Name
Johnson
First Name
Randi
Middle Name
L
Credential
PA
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box 655
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-8655
Mailing Country
US
Mailing Phone
(585) 341-3015
Practice Street Address
1000 South Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2733
Practice Country
US
Practice Phone
(585) 341-6880
Enumeration Date
December 28, 2012
Last Updated
March 04, 2013
Sex
Female
Sole Proprietor
No
Taxonomies
Physician Assistant (363A00000X)