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

Detric D Johnson

Individual provider Community Health Worker · NPI 1568958890

Detric D Johnson is a Community Health Worker in Buffalo, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

535 Wyoming Ave Ste 1
Buffalo, NY 14215-3137
Phone: (716) 253-1847
Fax: (716) 845-3511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (NY)

Record details

NPI number1568958890
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2018
Last updated in NPPESJune 6, 2019
Mailing address535 Wyoming Ave Ste 1, Buffalo, NY 14215-3137

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