Individual provider · Type 1 NPI

Vincentius Jeremy Suhardi, MD, PhD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1992265771 Active

Practice location

535 E 70th St
New York, NY 10021-4823

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 1992265771

Vincentius Jeremy Suhardi, MD, PhD's National Provider Identifier is 1992265771, issued on Mar 20, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on May 30, 2025.