Organization
DR. GOLDA JOHNSON, M.D. P.C.
Active
Other names
Golda O Johnson MD, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOLDA O JOHNSON MD (DIRECTOR)
(718) 773-0975
Entity
Organization
Contact information
Practice address
910 PARK PL, BROOKLYN, NY 11216-4000
(718) 773-0975
(718) 773-0529
Mailing address
910 PARK PL, BROOKLYN, NY 11216-4013
(718) 773-0975
(718) 773-0529
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
174977
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01076984
—
NY
Enumeration date
04/08/2013
Last updated
06/17/2013
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