Individual
SUSANNA O'KULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 CLARKSON AVE # MSC1213, BROOKLYN, NY 11203-2012
(718) 270-2959
(718) 270-4711
Mailing address
450 CLARKSON AVE # MSC1213, BROOKLYN, NY 11203-2012
(718) 270-2959
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
297906
NY
2084N0400X
Neurology Physician
297906
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06784050
—
NY
Enumeration date
04/03/2015
Last updated
03/22/2022
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