National Provider Identifier
Mary Calestine Johnson
Mary Calestine Johnson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 831-7877.
Profile Overview
- NPI
- 1972184083
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 20, 2021
- Last Updated
- April 21, 2021
Practice Location
- 244 Hempstead Ave
- Buffalo, NY 14215-3404
Phone: (716) 831-7877
Mailing Address
- 255 Delaware Ave Fl 4
- Buffalo, NY 14202-2016
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1972184083
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Mary
- Middle Name
- Calestine
- Mailing Street Address
- 255 Delaware Ave Fl 4
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-2016
- Mailing Country
- US
- Mailing Phone
- (716) 842-0440
- Practice Street Address
- 244 Hempstead Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3404
- Practice Country
- US
- Practice Phone
- (716) 831-7877
- Enumeration Date
- April 20, 2021
- Last Updated
- April 21, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 21, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)