Individual provider · Type 1 NPI

Sushila Balakrishnan, MD

Specialist · Staten Island, NY

NPI number 1093777435 Active

Practice location

111 Canal St
Staten Island, NY 10304-2723

Mailing address

197 City Blvd
Staten Island, NY 10301-3328

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X117311 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1093777435

Sushila Balakrishnan, MD's National Provider Identifier is 1093777435, issued on Apr 3, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 8, 2007.