Organization
DR. GOLDA O JOHNSON MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOLDA ODETTE JOHNSON MD (CEO)
(718) 773-0975
Entity
Organization
Contact information
Practice address
910 PARK PL, SUITE 1B, BROOKLYN, NY 11216-4000
(718) 773-0975
(718) 773-8844
Mailing address
910 PARK PL, SUITE 1B, BROOKLYN, NY 11216-4000
(718) 773-0975
(718) 773-8844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
174977
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03773911
—
NY
Enumeration date
06/26/2014
Last updated
06/26/2014
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