Individual
DR. GILLIAN V KUPAKUWANA-SUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092, NEW HAVEN, CT 06510-3221
(203) 688-5555
Mailing address
DEPT. OF MEDICINE MEDICAL SERVICE GROUP, 750 E. ADAMS ST., SYRACUSE, NY 13210
(315) 464-8200
(315) 464-8206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
298769
NY
207RH0003X
Hematology & Oncology Physician
Primary
298769
NY
Other
Enumeration date
05/24/2016
Last updated
09/17/2025
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