SHIDONG SU MDPC NPI 1467542530

NPI Information

SHIDONG SU, MD,PC is a neurology psychiatry neurology in Flushing, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. SHIDONG SU, MD,PC NPI is 1467542530. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13621 ROOSEVELT AVE
SUITE 305
FLUSHING, NY
ZIP 11354-507
Phone: (718) 888-1803
Fax: (718) 888-0957

The provider's authorized official is Shidong Su .
The authorized official title is Director and has the following contact phone number (718) 888-1803.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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