Johnson, Golda Odette

Johnson, Golda Odette is an sole proprietor health care provider with primary practice located at 910 Park Pl , Brooklyn NY 11216-4000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Johnson, Golda Odette can be contacted via phone (718) 773-0975.

Contact Information

Primary practice address
910 Park Pl Brooklyn NY 11216-4000
Phone: (718) 773-0975
Fax: (718) 773-8844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 174977 New York

Profile Details

NPI number 1780668236
LBN Legal business name Johnson, Golda Odette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Jun 26th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780668236 NPPES
New York Other 010022401 MEDICARE RAILROAD
New York MEDICAID 01076984 MEDICARE RAILROAD

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