Individual
ELMA J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
445 LENOX RD, BROOKLYN, NY 11203-2017
(718) 245-4790
Mailing address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-4580
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
216907-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02117146
—
NY
Enumeration date
08/22/2005
Last updated
06/30/2020
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