Individual
ANGELICA JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1824 MADISON AVE, NEW YORK, NY 10035-3832
(212) 423-4500
Mailing address
1824 MADISON AVE, NEW YORK, NY 10035-3832
(212) 423-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
332650
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
05/07/2026
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