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Contact Information

DOUGLAS S KONDZIOLKA, MD
530 1ST AVE
SUITE 8R
NEW YORK, NY10016-6402
 Phone: 212-263-2950
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DOUGLAS S KONDZIOLKA · (Male)

NPI # 1063486488
Status Active
Credentials MD
Entity Individual
Enumeration date 02/14/2006
Last updated 03/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 267044
  • PA License # MD042521L
  • PA Medicaid 001269761
Hospital affiliation(s)
  • NYU HOSPITALS CENTER - (Acute Care)
    550 FIRST AVENUE
    NEW YORK, NY 10016
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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