Candace L Johnson
Pediatrician Pediatric Infectious Diseases
3959 Broadway Suite 106
New York
, New York 10032-1559
Candace L Johnson
Pediatrician Pediatric Infectious Diseases
3959 Broadway Suite 106
New York
, New York 10032-1559
(212) 342-5218
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Candace L Johnson
- 622 W 168th St Ph4-474
- New York, NY
- Zip : 10032-3720
- Fax : (212) 342-5218
- Phone : (212) 305-6490
Second Address
- Candace L Johnson
- 3959 Broadway Suite 106
- New York, NY
- Zip : 10032-1559
- Fax : (212) 342-5218
- Phone : (212) 305-6490
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 276035 | NY |
| Y | 2080P0208X | Pediatric Infectious Diseases | 276035 | NY |
National Provider Identifier
| NPI | 1417242553 |
|---|---|
| Provider Name | Candace L Johnson |
| First Address | New York, NY 10032-3720 |
| Second Address | New York, NY 10032-1559 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2011 |
| Last Update Date | 21/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.