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DR. SUSAN LYNNE GONNELLA MD NPI 1013102227


NPI Information

NPI: 1013102227
Provider Name: DR. SUSAN LYNNE GONNELLA, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
CROSSOVER HEALTH MEDICAL GROUP APC
C/O GALINA TARNOPOLSKIY 25 WEST 45TH ST. 11TH FLOOR
NEW YORK, NY
ZIP 10036
Phone: (347) 871-3258
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DR. Susan Lynne Gonnella, MD is an internal medicine in New York, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Susan Lynne Gonnella, MD NPI is 1013102227. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

CROSSOVER HEALTH MEDICAL GROUP APC
C/O GALINA TARNOPOLSKIY 25 WEST 45TH ST. 11TH FLOOR
NEW YORK, NY
ZIP 10036
Phone: (347) 871-3258
Fax: (917) 722-0561

The enumeration date for this NPI number is 9/11/2007 and was last updated on 2/22/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine176885NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
150870OTHERNEW JERSEYNJ MEDICAL LICENSE
253903OTHERCONNECTICUTNON-MEDICARE
34301109059OTHERMICHIGANNON-MEDICARE
4C130434OTHERCALIFORNIACA MEDICAL LICENSE
5D008371OTHERMARYLANDNON-MEDICARE
6MD174379OTHEROREGONNON-MEDICARE
70101257922OTHERVIRGINIANON-MEDICARE
8036.136110OTHERILLINOISNON-MEDICARE
9ME122217OTHERFLORIDANON-MEDICARE
10176885OTHERNEW YORKLICENSE
11MD043243OTHERDISTRICT OF COLUMBIANON-MEDICARE
12MD453535OTHERPENNSYLVANIANON-MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.