Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derwin Johnson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720236219

Derwin Johnson is an Addiction (Substance Use Disorder) Counselor in Roosevelt, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
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Practice location Address checks out

380 Nassau Rd
Roosevelt, NY 11575-1343
Phone: (516) 623-7741
Fax: (516) 623-7775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 19272 (NY)

Record details

NPI number1720236219
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2008
Last updated in NPPESDecember 17, 2013
Mailing address10 Irving Pl, Roosevelt, NY 11575-2224

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