Individual
ILA SUKHADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1235 ARDEN AVE, STATEN ISLAND, NY 10312-4148
(718) 948-3400
Mailing address
283 OCEAN TER, STATEN ISLAND, NY 10301-4555
(718) 981-0572
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
129045
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B13252
UPIN
NY
Enumeration date
02/10/2006
Last updated
07/08/2007
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