Most Relevant Information
Provider Data
| NPI Number: | 1003279811 |
| Provider Name: | NICHOLAS VAN COTT JOHNSON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 63733 |
Most Important Dates
| Enumeration Date: | 03/30/2016 |
| Last Updated: | 06/23/2020 |
Provider Practice Location
550 1ST AVE
NYU LANGONE MEDICAL CENTER
NEW YORK
NY
100166402
Practice Location Phone/Fax
| Phone: | 2122635506 |
| Fax: |
Provider Mailing Location
550 1ST AVE
NYU LANGONE MEDICAL CENTER
NEW YORK
NY
100166402
Provider Mailing Phone/Fax
| Phone: | 2122635506 |
| Fax: |