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

Individual provider Neurology Physician · NPI 1558457200

Shidong Su, MD is a Neurology Physician in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

136 21 Roosevelt Ave Ste 305
Flushing, NY 11354
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 number1558457200
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESJuly 8, 2007
Mailing address136 21 Roosevelt Avenue, Suite 305, Flushing, NY 11354

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