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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.