Kondziolka, Douglas S
Kondziolka, Douglas S is an individual health care provider with primary practice located at 530 1St Ave Suite 8R, New York NY 10016-6402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Kondziolka, Douglas S can be contacted via phone (212) 263-2950.Contact Information
Primary practice address
530 1St Ave Suite 8R
New York NY 10016-6402
Phone: (212) 263-2950
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 267044 | New York |
| Other Service Providers / Specialist | 174400000X | MD042521L | Pennsylvania |
Profile Details
| NPI number | 1063486488 |
|---|---|
| LBN Legal business name | Kondziolka, Douglas S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Mar 9th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063486488 | NPPES |
| Pennsylvania | MEDICAID | 001269761 |
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