Individual provider · Type 1 NPI

Emily Michelle Su, MD, MBA

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1629655345 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Call (718) 226-8297 Map

Mailing address

4113 Mesa St
Torrance, CA 90505-6311

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629655345

Emily Michelle Su, MD, MBA's National Provider Identifier is 1629655345, issued on Mar 27, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Jan 30, 2026.