Individual provider · Type 1 NPI

Susan Pannullo, MD

Neurological Surgery Physician · New York, NY

NPI number 1063438646 Active

Practice location

525 E 68th St, St 626/BOX 99
New York, NY 10021-4870

Fax (212) 746-6607

Mailing address

575 Lexington Ave, 5THFL.
New York, NY 10022-6102

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000X176302 (NY)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1063438646

Susan Pannullo, MD's National Provider Identifier is 1063438646, issued on Jul 15, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in New York, NY. The record was last updated on Sep 14, 2011.