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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063486488 NPPES
Pennsylvania MEDICAID 001269761

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