IndividualActive
Candace Johnson, M.D.
NPI 1417242553 · Pediatric Infectious Diseases Physician · New York, NY
Provider details
- NPI number
- 1417242553
- Entity type
- Individual
- Primary specialty
- Pediatric Infectious Diseases PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 276035 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3959 Broadway
Suite 106
New York, NY 10032-1559
Phone: (212) 305-6490
Fax: (212) 342-5218
Approximate (ZIP-level) locationGet directions
Mailing address
622 W 168th St
New York, NY 10032-3720
Registry dates
- Enumerated
- 2011-06-16
- Last updated
- 2017-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.