Individual
DR. MINNIE JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
263 7TH AVE, BROOKLYN, NY 11215-7247
(718) 780-5260
(718) 780-3266
Mailing address
PO BOX 5444, NEW YORK, NY 10087-5444
(718) 780-5260
(718) 780-3266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
223528
NY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
223528
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02586969
—
NY
Enumeration date
03/23/2006
Last updated
09/12/2023
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