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

Susan Pannullo, MD

Individual provider Neurological Surgery Physician · NPI 1063438646

Susan Pannullo, MD is a Neurological Surgery Physician in New York, 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?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

525 E 68th St St 626/BOX 99
New York, NY 10021-4870
Phone: (212) 746-4776
Fax: (212) 746-6607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 176302 (NY)

Record details

NPI number1063438646
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESSeptember 14, 2011

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