Individual
MRS. MALIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4802 TENTH AVENUE, BROOKLYN, NY 11219
(718) 283-6000
Mailing address
4802 TENTH AVENUE, BROOKLYN, NY 11219
(718) 283-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F305742
NY
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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