Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHIDONG SU, M.D.
Active Sole ProprietorSHIDONG SU, M.D. is a Neurology healthcare provider located in FLUSHING, New York. NPI 1558457200 is currently active in the NPPES registry. Verify at CMS.
Neurology · FLUSHING, NY
Registration Details
- NPI Number
- 1558457200
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.677593223686 yrs)
- Last Updated
- Jul 8, 2007
- License
-
215043 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
136 21 ROOSEVELT AVENUESUITE 305FLUSHING, NY, 11354Browse NY providers · Browse ZIP 11354
- Phone
- 7188881803
- Fax
- 7188880957
- Primary Specialty
-
Neurology
2084N0400X
Other Neurology Providers in FLUSHING, NY
| Name | Credential | NPI |
|---|---|---|
| WAEL KAMEL | MD | 1821073032 |
| JEFFREY CHARLES APPELBAUM | DO | 1770568974 |
| MR. PAUL MAGDA | DO | 1750353561 |
| DR. MARINA AMITINA | M.D. | 1407821309 |
| DR. JUNE YIN | MD | 1154353332 |
| DR. NEIL SCHAUL | MD | 1497779565 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.