Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shidong Su, MD, PC

Organization Neurology Physician · NPI 1467542530

Shidong Su, MD, PC is a Neurology Physician in Flushing, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13621 Roosevelt Ave Ste 305
Flushing, NY 11354-5507
Phone: (718) 888-1803
Fax: (718) 888-0957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 215043 (NY)

Record details

NPI number1467542530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shidong Su — Director · (718) 888-1803
NPI enumeratedOctober 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address13621 Roosevelt Ave, Suite 305, Flushing, NY 11354-5507

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