Individual
JOSH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2500
Mailing address
1755 YORK AVE APT 16B, NEW YORK, NY 10128-6870
(516) 499-1791
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
313300
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2018
Last updated
05/27/2025
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