Shidong Su is a Flushing, New York based neurologist who is specialized in Neurology. Active license number of Shidong Su is 215043 for Neurology in New York. His current practice location is 136 21 Roosevelt Avenue, Suite 305, Flushing. Patients can reach him at 718-888-1803 or can fax him at 718-888-0957. Shidong Su is M.D. in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1558457200.
Shidong Su 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.
Complete Profile:
Shidong Su speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Shidong Su |
| Specialization: | Neurology |
| Gender: | Male |
| Credentials: | M.D. |
| Practice Address: | 136 21 Roosevelt Avenue, Suite 305, Flushing,
New York, 11354 |
| Phone: | 718-888-1803 |
| Fax: | 718-888-0957 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1558457200 |
| NPI Enumeration Date: | 04 Oct, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shidong Su are as mentioned below.
| License Number | Specialization | State | Status | |
| 215043 | Neurology | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Shidong Su such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02159286 | Medicaid | New York | |
| 05353 | Other | New York | GHI-MEDICARE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shidong Su
136 21 Roosevelt Avenue, Suite 305
Flushing, New York |
| Zip: | 11354 |
| Phone Number: | 718-888-1803 |
| Fax Number: | 718-888-0957 |
Patients can reach Shidong Su at
136 21 Roosevelt Avenue, Suite 305, Flushing, New York or can
call to book an appointment on 718-888-1803.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.