Dr. Douglas S Kondziolka
Neurosurgeon
530 1st Ave Suite 8r
New York
, New York 10016-6402
Dr. Douglas S Kondziolka
Neurosurgeon
530 1st Ave Suite 8r
New York
, New York 10016-6402
(212) 263-2950
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Douglas S Kondziolka
- 530 1st Ave Suite 8r
- New York, NY
- Zip : 10016-6402
- Phone : (212) 263-2950
Second Address
- Dr. Douglas S Kondziolka
- 530 1st Ave Suite 8r
- New York, NY
- Zip : 10016-6402
- Phone : (212) 263-2950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 267044 | NY |
National Provider Identifier
| NPI | 1063486488 |
|---|---|
| Provider Name | Dr. Douglas S Kondziolka |
| First Address | New York, NY 10016-6402 |
| Second Address | New York, NY 10016-6402 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2006 |
| Last Update Date | 09/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001269761 | (05) | PA |
| F15135 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.