NPI 1023842382

Tineka Johnson, NYCPSP

Practitioner Peer Specialist Brooklyn, NY

Practice location

Address: 1623 Flatbush Ave, Brooklyn, NY 11210-3262
Phone: (718) 377-7757
Mailing address: 681 Clarkson Ave, Brooklyn, NY 11203-2125

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence NYCPS-P-5523 (NY)

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Registry record

NPI: 1023842382
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2024
Record last updated: 29 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.