| Catherine Marie Johnson, FNP-C | |
| 
					59 Boniface Dr, Pine Bush, NY 12566-7011  | |
| (845) 744-4499 | |
| Not Available | 
| Full Name | Catherine Marie Johnson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 59 Boniface Dr, Pine Bush, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053611715 | NPI | - | NPPES | 
| 3404377 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F336435 (New York) | Primary | 
| Entity Name | Middletown Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902855828 PECOS PAC ID: 2567464308 Enrollment ID: O20070208000144  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Catherine Marie Johnson, FNP-C 111 Maltese Dr, Middletown, NY 10940-2115 Ph: (845) 342-4774  | Catherine Marie Johnson, FNP-C 59 Boniface Dr, Pine Bush, NY 12566-7011 Ph: (845) 744-4499  | 
Christine Vanhoy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 99 Cameron St, Pine Bush, NY 12566 Phone: 845-563-8000  | |
Linda A Larocco, DNP, ANP-BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 59 Boniface Dr, Pine Bush, NY 12566 Phone: 845-744-4499 Fax: 845-744-4497  | |
Nancy Vendura, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 99 Cameron St, Pine Bush, NY 12566 Phone: 845-343-7614 Fax: 845-343-5390  | |
Alexander Walsh,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 88 Jansen Rd, Pine Bush, NY 12566 Phone: 845-551-7258  |