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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 117311 (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.