# BRANDON B JOHNSON MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New York Retina Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356963755
- **Authorized official:** BRANDON B JOHNSON MD (PRACTICE OWNER)
- **Authorized official phone:** (917) 284-6999

## Contact information

- **Practice address:** 161 E 32ND ST, NEW YORK, NY 10016-6002
- **Practice address phone:** (212) 979-2020
- **Practice address fax:** (267) 421-4838
- **Mailing address:** 161 E 32ND ST, NEW YORK, NY 10016-6002
- **Mailing address phone:** (917) 284-6999
- **Mailing address fax:** (917) 551-5795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | — |

## Other

- **Enumeration date:** 05/08/2020
- **Last updated:** 07/22/2021