National Provider Identifier
Eric Robert Johnson, MD
Eric Robert Johnson, MD is listed in the NPPES registry with a primary specialty of Surgery Physician in Brockport, NY and a listed phone number of (585) 637-6120.
Profile Overview
- NPI
- 1770546277
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- April 07, 2006
- Last Updated
- July 08, 2007
Practice Location
- 59 West Ave
- Brockport, NY 14420
Phone: (585) 637-6120
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1770546277
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Eric
- Middle Name
- Robert
- Credential
- MD
- Mailing Street Address
- 59 West Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420
- Mailing Country
- US
- Mailing Phone
- (585) 637-6120
- Mailing Fax
- (585) 637-4772
- Practice Street Address
- 59 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420
- Practice Country
- US
- Practice Phone
- (585) 637-6120
- Practice Fax
- (585) 637-4772
- Enumeration Date
- April 07, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)
- Other Identifiers
- 01414933 (NY)