Individual
SUJA S JOHNKUTTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33 WALT WHITMAN ROAD, SUITE 201, HUNTINGTON STATION, NY 11746-4276
(631) 385-8558
(631) 385-8010
Mailing address
P.O. BOX 224, OLD BETHPAGE, NY 11804-0224
(631) 385-8558
(631) 385-8010
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01093143A
IN
2084N0400X
Neurology Physician
Primary
216285
NY
Other
Enumeration date
09/20/2006
Last updated
04/04/2024
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