Individual
DR. MALCOLM JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MOUNT SINAI MEDICAL CENTER, 25-10 30TH AVE, ASTORIA, NY 11102
(718) 932-1000
Mailing address
MT SINAI HOSPTIAL, 25-10 30TH AVE, ASTORIA, NY 11102
(718) 932-1000
(203) 785-4580
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
288266
NY
207P00000X
Emergency Medicine Physician
55804
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
05/13/2013
Last updated
08/15/2025
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