Susan Pannullo
Neurosurgeon
525 E 68th St St 626/box 99
New York
, New York 10021-4870
Susan Pannullo
Neurosurgeon
525 E 68th St St 626/box 99
New York
, New York 10021-4870
(212) 590-7800
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Susan Pannullo
- 575 Lexington Ave 5thfl.
- New York, NY
- Zip : 10022-6102
- Fax : (212) 590-7800
- Phone : (212) 590-5152
Second Address
- Susan Pannullo
- 525 E 68th St St 626/box 99
- New York, NY
- Zip : 10021-4870
- Fax : (212) 746-6607
- Phone : (212) 746-4776
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 176302 | NY |
National Provider Identifier
| NPI | 1063438646 |
|---|---|
| Provider Name | Susan Pannullo |
| First Address | New York, NY 10022-6102 |
| Second Address | New York, NY 10021-4870 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2006 |
| Last Update Date | 14/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01897158 | (05) | NY |
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.