Shidong Su, Md,pc is a Neurology Clinic in Flushing, New York. It is located at 13621 Roosevelt Ave, Suite 305, Flushing, NY and its contact number is 718-888-1803. The authorized person for Shidong Su, Md,pc is Shidong Su
who is Director of the clinic and his/her contact number is 718-888-1803. The primary license number for Shidong Su, Md,pc is 215043 (Neurology) in New York.
Shidong Su, Md,pc Clinic 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 Clinic Profile:
Shidong Su, Md,pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Shidong Su, Md,pc |
| Specialization: | Neurology |
| Clinic Address: | 13621 Roosevelt Ave, Suite 305, Flushing,
New York, 11354-5507 |
| Phone: | 718-888-1803 |
| Fax: | 718-888-0957 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Shidong Su |
| Position: | Director |
| Contact Number: | 718-888-1803 |
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 for Shidong Su, Md,pc clinic are as mentioned below.
| NPI Number: | 1467542530 |
| NPI Enumeration Date: | 12 Oct, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shidong Su, Md,pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Neurology | 215043 | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 05353 | Other | New York | Ghi-medicare |
| 02159286 | Medicaid | New York | |
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, Md,pc
13621 Roosevelt Ave, Suite 305
Flushing, New York |
| Zip: | 11354-5507 |
| Phone Number: | 718-888-1803 |
| Fax Number: | 718-888-0957 |
Patients can reach Shidong Su, Md,pc at
13621 Roosevelt Ave, 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.