National Provider Identifier
Emily E Johnson, PA
Emily E Johnson, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Addison, NY and a listed phone number of (607) 359-2291.
Profile Overview
- NPI
- 1720620479
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 15, 2019
- Last Updated
- September 24, 2024
Practice Location
- 15 Community Dr
- Addison, NY 14801-1140
Phone: (607) 359-2291
Mailing Address
- 600 Ivy St Ste 206
- Elmira, NY 14905-1627
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1720620479
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Emily
- Middle Name
- E
- Credential
- PA
- Provider Other Last Name
- Hostottle
- Provider Other First Name
- Emily
- Provider Other Middle Name
- E
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 600 Ivy St Ste 206
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-1627
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 271-2071
- Practice Street Address
- 15 Community Dr
- Practice City
- Addison
- Practice State
- NY
- Practice ZIP Code
- 14801-1140
- Practice Country
- US
- Practice Phone
- (607) 359-2291
- Practice Fax
- (607) 359-2294
- Enumeration Date
- October 15, 2019
- Last Updated
- September 24, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 24, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 05936672 (NY), 103756780 (PA)